In 1919, President Woodrow Wilson suffered a severe stroke that left him incapacitated until the end of his presidency in 1921, an event that became one of the great crises in presidential succession. However, historian Edwin A. Weinstein notes that Wilson had a history of cerebrovascular disorders going back to 1896, sixteen years before his was elected president.
Weinstein writes in his biography of Wilson that the young Woodrow was a slow learner and this could be a sign that he was dyslexic. He was always a high-strung person and subject to illnesses that were probably psychosomatic in nature. His letters often contain references to poor health and his rhetoric frequently used metaphors regarding the body.
Wilson was serving as an instructor at Princeton in 1896 when he suffered his first stroke. As Weinstein puts it:Photo of Woodrow Wilson
Wilson’s first known stroke, in 1896, manifested itself in a weakness and loss of dexterity of his right hand, a numbness in the tips of several fingers, and some pain in the right arm. Aside from the pain, which was transitory, the symptoms and manner of onset indicate he had suffered an occlusion of a central branch of the left middle cerebral artery. This vessel supplies the regions of the left cerebral hemisphere that control movement and sensation for the contralateral extremities. The subsequent course of the disease suggest that the branch was blocked by an embolus from the left internal carotid artery. (P. 141)
Wilson consulted with Dr. William Keen, who had treated Grover Cleveland several years earlier. Apparently, Keen did not consider the matter too serious as Wilson was allowed to go on a trip to England. Wilson was able to write with his left hand and would not regain use of his right until about four months after the stroke.
Wilson’s psychosomatic disorders usually rose when he found himself under great stress and he was wont to complain about his condition. However, with the strokes, Wilson would deny there was a problem or at best downplay the matter. After the massive stroke of 1919, Wilson still thought he had the vigor to serve a third term.
His brother in law Stockton Axson thought there was a change in personality following the 1896 stroke. Wilson became a more driven man; less inclined to recreation and seemed more concerned with national affairs. Wilson was about to enter the national spotlight; he was elected the president of Princeton in 1902. Two years later, he suffered another period of inability to use his right hand, but suggested that he had simply been writing too much.
In 1906, he suffered another serious stroke, one that left him nearly blind in his left eye. Wilson consulted a Philadelphia ophthalmologist named George de Schweinitz as well as Dr. Keen. De Schweinitz urged Wilson to adopt a more sedentary life. However, Wilson sought the advice of another doctor, Alfred Stengal, an internist, who thought that all Wilson needed was a few months of rest. He made another trip to Europe and returned to his work at Princeton.
Wilson had a plan to reorganize Princeton into a series of residential colleges or quadrangles, similar to Oxford. The plan met with opposition, Wilson often made counterproductive moves and saw his proposal go down to defeat. Weinstein is certain that Wilson’s 1906 stroke had an adverse affect on his abilities.
In 1910, Wilson was elected governor of New Jersey and in 1912, he was elected president. In his early months in the White House, he seemed vigorous. The president’s new physician was Cary Grayson, who had been serving on the White House medical staff under Wilson’s predecessor, William Taft. The two men soon became close.
In 1913, Wilson suffered another stroke, only this time, it was his left arm that was affected. Weinstein writes:
The episode which affected Wilson’s left arm was particularly ominous from a clinical standpoint. The most likely diagnosis is that he had developed an ulcerated plaque in his right carotid artery from which an embolus had broken off. This meant that the cerebral circulation has been impaired on the right, previously unaffected, side of the brain. This evidence of bilaterality of involvement not only increased the risk of future strokes, but also created the possibility that enduring changes of behavior, based on insufficient blood supply and impaired oxygenation of the brain, might eventually occur. (P.252)
Wilson, as had become his habit, denied that there was anything seriously wrong. However, his wife Ellen had taken to consulting doctors. One, a neurologist named Francis Dercum, suggested that Wilson just needed a few months rest. Another, Silas Mitchell, said that Wilson would not survive his term.
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