Symptoms and possible causes
Outwardly, the beginning of the nineteenth century was a happy time for Beethoven. He had been living in Vienna, Europe’s musical capital, for nearly ten years. The premiere of the First Symphony was by most accounts successful. Publishers were fighting to print his pieces. A slew of other well-received premieres and performances seemed to bode well for the composer as he entered his fourth decade.
Amid this success, Beethoven harbored the secret of his encroaching deafness. Letters written in 1801 show the first recorded mention of his symptoms. He wrote to a doctor, “My ears buzz and roar day and night. …in the theatre I have to get very close to the orchestra to understand the performers, and … from a distance I do not hear the high notes of the instruments and the singers’ voices…. Sometimes too I hardly hear people who speak softly. The sound I can hear, it is true, but not the words. And yet if anyone shouts I can’t bear it.” To another friend he fretted, “You will realize what a sad life I must now lead, seeing that I am cut off from everything that is dear and precious to me.”
The cause of this hearing loss remains a mystery. Recent studies have suggested lead poisoning, while others have proposed syphilis, inflammatory bowel disease, and autoimmune disorders. An autopsy performed shortly after his death revealed abnormalities in his inner ear, though no cause was determined.