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NEUROLOGY
The epilepsy of Franklin Delano Roosevelt
Steven Lomazow, MD In the 4 years since beginning research for a book on the health1 of our 32nd president, the diagnosis of
Franklin Delano Roosevelt’s seizures evolved from a suspicion to a virtual certainty. Even more importantly, it
is clear that they had a major impact upon his mental acuity and decision-making during one of the most
Address correspondence and critical periods in American history.
reprint requests to Dr. Steven
Lomazow, Mount Sinai School of
There are dozens of independent reports of behavior consistent with complex partial seizures that occurred
Medicine, 8 McGuirk Lane, West with considerable frequency for over a year prior to his death from a cerebral hemorrhage at Warm Springs,
Orange, NJ 07052 GA, on April 12, 1945, none of which were recognized as such by the observers. The true nature of Roos-
Lomazow@comcast.net
evelt’s neurologic illness has been one of the most closely held secrets of the 20th century, abetted by the active
participation in a cover-up by his 2 most well-recognized physicians, ENT specialist Ross T. McIntire and
cardiologist Howard G. Bruenn. It is ludicrous to assume that symptomatology so gross and so frequent went
unrecognized by those entrusted with the health of the most important and powerful man in the world. The
pieces of the puzzle are scattered in dozens of books, articles, oral histories, and a limited amount of surviving
medical records.
In the last year of Roosevelt’s life, the long list of observers who were aghast at his appearance, demeanor, and
loss of mental acuity include Winston Churchill, Churchill’s physician, Lord Moran, and Generals Douglas
MacArthur and Albert C. Wedemeyer, yet a number of others are particularly graphic and convincing.
In July 1944, prior to his nomination for an unprecedented fourth term, Turner Catledge, then a reporter
and soon to be editor of The New York Times, met with FDR:
When I entered the president’s office … he was sitting there with a vague glassy-eyed expression on his face and his
mouth hanging open. He would start talking about something, then in midsentence he would stop and his mouth
would drop open and he’d sit staring at me in silence … Repeatedly he would lose his train of thought, stop, and
stare blankly at me. It was an agonizing experience for me. Finally a waiter brought his lunch, and (Chief of Staff,
General Edwin “Pa”) Watson said his luncheon guest was waiting, and I was able to make my escape.2
Watson was Roosevelt’s chief of staff and close confidante since the earliest days of the New Deal, having
been brought into Roosevelt’s inner circle (as was Presidential physician McIntire) by Dr. Cary T. Grayson,
the orchestrator of the medical cover-up of Woodrow Wilson’s devastating 1919 stroke.
In January 1945, Senator Frank Maloney of Connecticut, a long-time acquaintance of the President, met
with him over lunch.
Supplemental data Roosevelt looked up but said nothing, his eyes fixed in a strange stare. After a few moments of silence, Maloney
realized that Roosevelt had absolutely no idea who his visitor was. A pious Catholic, Maloney crossed himself and
at ran to get Pa Watson, fearing the president had suffered a stroke. “Don’t worry.” Watson said. “He’ll come out of it.
www.neurology.org He always does.” By the time Maloney returned to the oval office, Roosevelt had pulled himself together. Smiling
broadly, he greeted Maloney warmly and launched into a spirited conversation.3
Watson’s dismissive response to the event is strong testimony to both the frequency and the familiarity
with which FDR’s intimate associates dealt with the problem.
Frances Perkins, America’s first female cabinet member, gave the best description:
The change in appearance had to do with the oncoming of a kind of glassy eye, and an extremely drawn look around
the eyes and cheeks, and even a sort of dropping of the muscles of the jaw and mouth, as though they weren’t
working exactly. I think they were, but there was a great weakness in those muscles. Also, if you saw him close to, you
would see that his hands were weak … When he fainted, as he did occasionally—not for many years, but for several
years—that was all accentuated. It would be momentary. It would be very brief, and he’d be back again.4
A January 5, 1948, memo from a Chicago Tribune reporter, Orville “Doc” Dwyer, to his colleague,
Walter Trohan, best illustrates the historical importance and also reliably reports that Roosevelt’s daughter,
Anna, who served as his hostess and aide for the last year of his life, was well aware of the problem, though she