Background: West syndrome (WS) is one of the most common causes of refractory epilepsy with infantile onset and characterized by epileptic spasms and neuro-developmental problems. About two third of children with West syndrome have mental retardation while significant number have autism spectrum disorders and hyperkinetic disorder. Case Report: The index case describes a child with West syndrome where all three neurodevelopment disorders are present along with epileptic spasms and associated abnormal electroencephalogram. Conclusion: It is important to examine a child presenting with such a plethora of symptoms in a holistic way, as early as possible, so that we can prevent the associated co-morbidities related to neurodevelopment process and untreated epileptic spasms.