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梵高患的是梅尼埃病而非癫痫。

Van Gogh had Menière's disease and not epilepsy.

作者信息

Arenberg I K, Countryman L F, Bernstein L H, Shambaugh G E

机构信息

International Meniere's Disease Research Institute, Colorado Neurologic Institute, Englewood 80110.

出版信息

JAMA. 1990 Jul 25;264(4):491-3.

PMID:2094236
Abstract

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.

摘要

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。

相似文献

1
Van Gogh had Menière's disease and not epilepsy.梵高患的是梅尼埃病而非癫痫。
JAMA. 1990 Jul 25;264(4):491-3.
2
Vincent's violent vertigo. An analysis of the original diagnosis of epilepsy vs. the current diagnosis of Meniére's disease.文森特氏剧烈眩晕。癫痫原诊断与梅尼埃病当前诊断的分析。
Acta Otolaryngol Suppl. 1991;485:84-103. doi: 10.3109/00016489109128048.
3
Van Gogh: Menière's disease? Epilepsy? Psychosis?梵高:梅尼埃病?癫痫?精神病?
JAMA. 1991 Feb 13;265(6):722-4.
4
Did Van Gogh have Ménière's disease?梵高是否患有梅尼埃病?
Eur Ann Otorhinolaryngol Head Neck Dis. 2011 Sep;128(4):205-9. doi: 10.1016/j.anorl.2011.02.002. Epub 2011 May 26.
5
[The psychiatric disease of Vincent van Gogh].[文森特·梵高的精神疾病]
Nervenarzt. 1993 Sep;64(9):594-8.
6
Van Gogh's vision. Digitalis intoxication?梵高的幻觉。洋地黄中毒?
JAMA. 1981 Feb 20;245(7):727-9.
7
[Van Gogh's Pathography and the Influence of Illness on Painting].[梵高的病理传记及疾病对绘画的影响]
Brain Nerve. 2021 Dec;73(12):1333-1339. doi: 10.11477/mf.1416201944.
8
The illness of Vincent van Gogh.文森特·梵高的疾病。
Am J Psychiatry. 2002 Apr;159(4):519-26. doi: 10.1176/appi.ajp.159.4.519.
9
The wing of madness: the illness of Vincent van Gogh.《疯狂之翼:文森特·梵高的病症》
Can J Psychiatry. 1993 Sep;38(7):480-4. doi: 10.1177/070674379303800704.
10
Van Gogh's disease in the light of his correspondence.从梵高的书信看梵高的病症
Front Neurol Neurosci. 2013;31:116-25. doi: 10.1159/000343265. Epub 2013 Mar 5.

引用本文的文献

1
New vision on the mental problems of Vincent van Gogh; results from a bottom-up approach using (semi-)structured diagnostic interviews.对文森特·梵高精神问题的新见解;采用(半)结构化诊断访谈的自下而上方法所得结果
Int J Bipolar Disord. 2020 Nov 2;8(1):30. doi: 10.1186/s40345-020-00196-z.
2
The neuropsychiatric ailment of Vincent Van Gogh.文森特·梵高的神经精神疾病。
Ann Indian Acad Neurol. 2015 Jan-Mar;18(1):6-9. doi: 10.4103/0972-2327.145286.
3
Vincent van Gogh's yellow vision.文森特·梵高的黄色幻视。
Br J Gen Pract. 2013 Jul;63(612):370-1. doi: 10.3399/bjgp13X669266.
4
Vincent: is this madness?文森特:这是疯了吗?
J Med Humanit. 1992 Spring;13(1):31-47. doi: 10.1007/BF01146456.
5
Van Gogh and the life chart.梵高与生命图表。
Integr Physiol Behav Sci. 1992 Oct-Dec;27(4):323-35. doi: 10.1007/BF02691167.