Arenberg I K, Countryman L F, Bernstein L H, Shambaugh G E
International Meniere's Disease Research Institute, Colorado Neurologic Institute, Englewood 80110.
JAMA. 1990 Jul 25;264(4):491-3.
We intend to correct the historical error that Vincent Van Gogh's medical problems resulted from epilepsy plus madness, a diagnosis made during his life but for which no rigid criteria are apparent. Review of 796 personal letters to family and friends written between 1884 and his suicide in 1890 reveals a man constantly in control of his reason and suffering from severe repeated attacks of disabling vertigo, not a seizure disorder. His own diagnosis of epilepsy was made from the written diagnosis by Dr Peyron, the physician at the asylum of St Remy (France), wherein on May 9, 1889, Van Gogh voluntarily committed himself to the asylum for epileptics and lunatics. However, the clinical descriptions in his letters are those of a person suffering from Meniere's disease, not epilepsy. The authors point out that Prosper Meniere's description of his syndrome (an inner-ear disorder) was not well known when Van Gogh died and that it often was misdiagnosed as epilepsy well into the 20th century.
我们打算纠正一个历史错误,即文森特·梵高的健康问题是由癫痫和精神错乱导致的,这是他生前被做出的诊断,但并无明确的严格标准。回顾1884年至1890年他自杀期间写给他家人和朋友的796封私人信件,我们发现他是一个始终能控制自己理智的人,且饱受严重反复的致残性眩晕发作之苦,而非癫痫发作紊乱。他自己对癫痫的诊断是基于圣雷米(法国)精神病院医生佩龙医生的书面诊断,1889年5月9日,梵高自愿入住这家癫痫和疯人院。然而,他信件中的临床描述却是一个患有梅尼埃病的人的症状,而非癫痫。作者指出,当梵高去世时,普罗斯珀·梅尼埃对其综合征(一种内耳疾病)的描述并不为人所知,而且直到20世纪,这种病常常被误诊为癫痫。