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Ludwig II, King of Bavaria: a royal medical history
1Department of Psychiatry and Psychotherapy, Technische Universität München, Munich, Germany. hans.foerstl@lrz.tu-muenchen.de
Objective:
The case of Ludwig II, King of Bavaria, had soon become synonymous with paranoia, after he had drowned at the age of 40 together with the neuropsychiatrist Gudden.
Method:
We were granted access to the Secret Archive of the House of Wittelsbach to study documents on Ludwig's medical history.
Results:
The documents underlying Gudden's expert opinion which led to Ludwig being deposed would be insufficient for a diagnosis of schizophrenia according to contemporary standards. The autopsy revealed prominent prefrontal brain atrophy.
Conclusion:
The evidence is compatible with a diagnosis of schizotypal personality and suspected frontotemporal degeneration.
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