The great French organist and composer Louis Vierne (1870-1937) died while performing an organ recital at Notre Dame cathedral in Paris - right in front of the console. This historical article provides insights into the biography of a highly talented musician who was challenged by disability and diseases throughout his career. A special focus is placed on the circumstances of Vierne’s remarkable death. Until now, both a primary cerebrovascular event and a "heart attack" are discussed in reference books and encyclopedias as the immanent causes of death. From the perspective of a stroke neurologist, a reappraisal of Vierne’s medical history and the events that happened during his last concert is presented. Copyright (C) 2012 S. Karger AG, Base

Foerch, Christian

Hennerici, Michael G.

Lemercier, Sophie

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Fax +41 61 306 12 34E-Mail karger@karger.chwww.karger.com Historical Paper  Cerebrovasc Dis 2012;34:322–325   DOI: 10.1159/000342648  A Beautiful Stroke? A Side Note on the 75th Anniversary of the Spectacular Death of the French Organist and Composer Louis Vierne (1870–1937)  Christian Foerch a    Sophie Lemercier a, c    Michael G. Hennerici b   a  Department of Neurology, Goethe University,  Frankfurt am Main , and  b  Department of Neurology, UniversitätsMedizin Mannheim, University of Heidelberg,  Mannheim , Germany;  c  Department of Neurology, Hospital of Pontchaillou,  Rennes , France  than 3,000 people filled the cathedral, awaiting a pure organ recital an hour or two long, with Louis Vierne and Maurice Duruflé playing an ‘all Vierne’ program. Vierne was the famous  organiste titulaire  (fig. 1) and Duruflé, one of his most talented students, was  organiste supplé-ant , who later became  organiste titulaire  at St. Étienne-du-Mont de Paris  [1] . The concert started with Vierne playing the  Triptyque pour Grand Orgue , a three-setter (of course) of about 15 min duration which he composed only a few years before. The first ‘table’ of the triptych called  Matines  is a quies-cently flowing movement that imitates the ringing of church bells, depicting the religious atmosphere of an early Sunday morning  [1] . Louis Vierne was born on October 8, 1870 in the French town of Poitiers. From birth on he suffered from ‘blindness’ caused by a congenital cataract. Vierne de-scribed later on that he could see enough to be able to walk without assistance, to recognize persons, to identify objects nearby and to read large letters directly in front of his eyes  [2] . However, his visual problems made it neces-sary for him to undergo a special education for handi-capped children. His uncle, Charles Colin, a well-known French organist and oboist, detected Vierne’s extraordi- Key Words  Vierne   Organist   Death   Stroke   Heart attack  Abstract  The great French organist and composer Louis Vierne (1870–1937) died while performing an organ recital at Notre Dame cathedral in Paris – right in front of the console. This histori-cal article provides insights into the biography of a highly talented musician who was challenged by disability and dis-eases throughout his career. A special focus is placed on the circumstances of Vierne’s remarkable death. Until now, both a primary cerebrovascular event and a ‘heart attack’ are dis-cussed in reference books and encyclopedias as the imma-nent causes of death. From the perspective of a stroke neu-rologist, a reappraisal of Vierne’s medical history and the events that happened during his last concert is presented.  Copyright © 2012 S. Karger AG, Basel  A big event was announced for the evening of June 2, 1937 at Notre Dame de Paris. That Wednesday, the French organ association, Les Amis de l’Orgue, was going to cel-ebrate its 10th anniversary with a master concert. More  Received: August 6, 2012  Accepted: August 13, 2012  Published online: November 8, 2012  Christian Foerch, MD  Department of Neurology, Goethe University  Schleusenweg 2–16  DE–60528 Frankfurt am Main (Germany)  E-Mail foerch   @   em.uni-frankfurt.de  © 2012 S. Karger AG, Basel1015–9770/12/0344–0322$38.00/0  Accessible online at:www.karger.com/ced  A Beautiful Stroke? Cerebrovasc Dis 2012;34:322–325 323nary talent for music early on. In his autobiography  Mes Souvenirs , Vierne describes it as one of  the mystic mo-ments in his life, when he heard a church organ playing for the first time. From this time point on, his only aim was to become an organist  [2] . At the age of 11 years he was admitted to the Institution Nationale des Jeunes Aveugles in Paris, a special school for blind students. He was trained on the organ and the piano and also had vio-lin lessons. After his graduation, no one less than César Franck, the most recognized organist in the second half of the 19th century, who is nowadays considered to be the  spiritus rector of the French symphonic organ style, in-vited Vierne to join his master class at the Paris Conser-vatoire in 1889  [2] . After the final chord of the first movement had faded away in the cathedral, Vierne started with the second ‘ta-ble’ of the  Triptyque . The  Communion is an emotive and gentle piece of music based on a simple theme, but with a complex harmonic structure. It leaves room for medita-tion and rest  [1] . After the surprising early death of Franck in 1890, the master class at the Conservatoire was taken over by Charles Marie Widor, another star of the French organ music genre, whose  Toccata in F is nowadays among the most popular organ pieces in the world. Not long there-after, Vierne got a job as Widor’s assistant organist at the church of Saint-Sulpice (the second largest in Paris), where in 1934 the famous organist and father of impro-visation, Marcel Dupré (1886–1971), was entitled at the big Cavaillé Colle organ. In 1900, the prestigious position of the  organiste titulaire at the Cathedral of Notre Dame was vacant. Vierne applied and was selected out of sev-eral candidates after a competition (a rare video of Vierne playing at the Grand Orgue at Notre Dame can be viewed  [3] ). Succeeding Widor’s position, Alexandre Guilmant asked him to continue to lead the master class at the Con-servatoire until 1911. Vierne was invited to perform in many European countries and also in the United States. While having increasing success as an organist, he had to bear with several familiar drawbacks that unhinged his psychic balance, such as the divorce from his wife Arlette Taskin, the death of his brother in World War I and the deaths of both of his sons  [2] . Vierne may have thought of this when starting to play the last part of the  Triptyque , called  Stèle pour un Enfant Défunt  (i.e. tombstone for a dead child). This piece com-bines mystic harmonies and sustained tones with a sen-timental melody  [1] . From the beginning of his life onwards Vierne had to deal with physical disability and diseases that challenged his musical career. In his autobiography, Vierne described his brother and himself as being of ‘weak condition’  [2] . As children, both of them barely escaped death during a rubeola infection. In 1906 he suffered from a severe bi-malleolar ankle fracture of his right leg after he was stum-bling across the tracks of a streetcar. Several attempts were necessary to reset the bones, and Vierne was immo-bilized by a cast for many weeks. It took him 2 months to learn to walk again, and a much longer time to regain enough skills to operate an organ pedal. A year later he was almost carried off by typhoid fever. In his autobiog-raphy, Vierne also describes a painful neuritis (likely a neuralgic amyotrophy), which precluded him from using his right arm for a certain period of time  [2] . His disabling visual problems, which were more or less stable during adolescence, started to turn worse from 1915 onwards due to glaucoma. Vierne was forced to adjourn his duties at Notre Dame for as long as 4 years and went to Switzer-land for specific treatment there. Vierne was a heavy smoker who apparently also smoked at his working space, the tribune of the Cathedral of Notre Dame. He took var-ious medications, including stimulants and sleeping pills, and the ingestion of ether in times of emotional ‘crisis’ is reported. Later on in his life, it turned out that it was more and more difficult for him to climb the stairs towards the tribune of Notre Dame due to ‘heart problems’  [1] . More-over, after suffering from a severe pneumonia in the win- Fig. 1. Louis Vierne (1870–1937) [reprinted with permission, Col-lection Denis Havard de la Montagne; www.musimem.com].  Foerch  /Lemercier  /Hennerici   Cerebrovasc Dis 2012;34:322–325324ter of 1935–1936, he was so weakened that other people had to help him to climb the steps to the tribune. There-after, he was not able to perform his duties on a regular basis any more. In fact, having a presentiment of death, he already had asked the cleric to find a successor for this job  [2] . At the evening of the concert, it is reported that Vierne was picked up at his apartment by his physician and good friend Dr. Lucien Mallet  [1] . Norbert Dufourcq is wit-nessed to have spoken to Vierne after his arrival at Notre Dame and was apparently shocked by the pallor of his face  [4] . Vierne finally managed to climb the stairs up to the organ ‘slowly and painfully’. Thereafter, he apparent-ly was in such a bad state that Dr. Mallet was constrained to give him two Solucamphre pills  [1] , containing among others the sympathomimetic agent ephedrine and para-sympatholytic substrates derived from  Atropa belladon-na . The events that followed after Vierne had finished playing the last measures of the  Triptyque were witnessed by Duruflé (who sat next to him and pulled the stops)  [1, 5] . Vierne turned pale; his right hand trembled and clutched at the manual. ‘I can no longer see the keys’ he said, and ‘I am going to be ill’. Then, he collapsed at the organ with his foot pushing down the low E pedal for a  Fig. 2. Program of the organ concert at Notre Dame on June 2, 1937. A visitor not-ed by hand ‘reached this point of the pro-gram at 9: 15 (21 h 15) … † at 21 h 20’ [re-printed with permission from  1 ].  A Beautiful Stroke? Cerebrovasc Dis 2012;34:322–325 325while, causing a single tone that echoed through the ca-thedral. He was dead instantly. The audience was later informed about what happened on the tribune ( fig.  2 ). Prayers were said before Vierne’s corpse was moved downstairs to an ambulance car and taken to his apart-ment. Duruflé later reported that a stroke (‘apoplexie’) was the cause of Vierne’s death  [5] , whereas others declared that Vierne had moved one of his hands to his heart just prior to the collapse, suggesting a cardiac problem  [6–8] . These and other testimonies of Vierne’s remarkable death have found their way into the literature. In reference books and encyclopedias, it has been proclaimed until now that Vierne died either from a stroke or from a heart attack  [9] . However, after a critical reevaluation of the pa-tient’s medical history and the reports of the witnesses, it seems to be rather unlikely that a stroke was the immedi-ate cause of death. Stroke of whatever subtype is typi-cally not a condition that leads to death within seconds. This accounts also for severe strokes that cause a sudden loss of consciousness (a ‘collapse’), such as an occlusion of the basilar artery or a major intracerebral or subarach-noid hemorrhage. In Vierne’s case, both headache and the presence of a focal neurological deficit (e.g. hemiparesis or speech disturbances) were never reported. On the oth-er hand, the sudden death, the pallor, Vierne’s own re-ports of a bad cardiological condition and the progressive difficulties to climb the stairs of the tribune (a ‘cardiac stress test’) make it more likely that a primary cardiac event, particularly a malign arrhythmia, was the imme-diate cause of death. Vierne was good in creating extraordinary finales. One is the famous masterpiece that concludes his first organ symphony. The one that concluded his life was ex-actly what he always wished for himself in his moment of death. Acknowledgment  We are very grateful to Hans Steinhaus (Bonn, Germany) for his help in validating the references.  References  1 Smith R: Louis Vierne – Organist of Notre Dame Cathedral. Hillsdale, Pendragon Press, 1999.  2 Vierne L: Mes souvenirs; in In Memoriam Louis Vierne (1870–1937). Paris, 1939, pp 9–121/Steinhaus H: Louis Vierne – Meine Erinnerungen (German ed). Köln, Dohr, 2004.  3 h t t p : // w w w.y o u t u b e . c o m / w a t c h? v =rJKCaGha7nE (accessed August 5, 2012).  4 Dufourcq N: Quelques souvenirs sur Louis Vierne; in In Memoriam Louis Vierne (1870–1937). Paris, 1939, pp 210–215.  5 Durufle M: Mes Souvenirs sur Tournemire et Vierne. L’Orgue 162, April–June 1977, pp 1–7.  6 Gavoty B: L’improvisateur; in In Memoriam Louis Vierne (1870–1937). Paris, 1939, pp 156–158.  7 Gavoty B: Louis Vierne, la Vie et l’Oeuvre. Paris, 1943.  8 Jaquet-Langlais ML: Ombre et Lumière: Jean Langlais 1907–1991. Paris, Éditions Combre, 1995.  9 http://en.wikipedia.org/wiki/Louis_Vierne (accessed August 5, 2012).  

A beautiful stroke? A side note on the 75th anniversary of the spectacular death of the French organist and composer Louis Vierne (1870-1937)

The great French organist and composer Louis Vierne (1870–1937) died while performing an organ recital at Notre Dame cathedral in Paris – right in front of the console. This historical article provides insights into the biography of a highly talented musician who was challenged by disability and diseases throughout his career. A special focus is placed on the circumstances of Vierne’s remarkable death. Until now, both a primary cerebrovascular event and a ‘heart attack’ are discussed in reference books and encyclopedias as the immanent causes of death. From the perspective of a stroke neurologist, a reappraisal of Vierne’s medical history and the events that happened during his last concert is presented.</jats:p

Christian Foerch

Sophie Lemercier

Michael G. Hennerici

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Cerebrovascular Diseases

A Beautiful Stroke? A Side Note on the 75th Anniversary of the Spectacular Death of the French Organist and Composer Louis Vierne (1870–1937)

http://archiv.ub.uni-heidelberg.de/volltextserver/17828/1/CED2012034004322.pdf

A beautiful stroke? A side note on the 75th anniversary of the spectacular death of the French organist and composer Louis Vierne (1870-1937)

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