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There is substantial evidence that Frau Emmy von N. suffered from Gilles de la Tourette's disease, not from hysteria. Freud's description of her physical symptoms strikingly resembles Gilles de la Tourette's disease: the repetitive, spastic contortions of her face, the recurrent episodes of stammering, the torticollis (which one of her daughters also had), the athetoid movements of her fingers and the repeated vocalizations (her 'protective formulas'). Some of these symptoms were present since early childhood.
Freud mentioned that he had thought in the beginning that Frau Emmy suffered from tic convulsif (Gilles de la Tourette's disease), but discarded the diagnosis in favour of hysteria, because he had uncovered the psychological meaning of her symptoms under hypnosis. Undoubtedly hysterical mechanisms were responsible for some of her symptoms, yet this does not explain why Freud, well acquainted with Gilles de la Tourette's disease, dropped this diagnosis. I believe the real reason was Freud's intense involvement with the concept of hysteria at the time, his turning away from neuropathology (Meynert) to psychopathology (Charcot).