My experience with neuropathology suggests that it was not medical at all, but rather a spiritual event with his black soul leaving his body after a spiritual rejection episode. Even a soul can only take so much torment! TAT
I must make a note... research has shown that "black soul" is a form of tar that is not water soluble. Therefore, all indications are that Rudy has been ingesting highly volatile liquids, either by drinking, or extreme huffing - perhaps intravenously. Or maybe bleach?
You never change things by fighting the existing reality. To change something, build a new model that makes the old model obsolete. R. Buckminster Fuller