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Dr. Kevin Tracey

๐Ÿ‘ค Speaker
536 total appearances

Appearances Over Time

Podcast Appearances

Ground Truths
Vagus Nerve Stimulation and the Immune System

And so skip fast forward to the 1980s, as you said.

Ground Truths
Vagus Nerve Stimulation and the Immune System

And well, actually, right after World War II,

Ground Truths
Vagus Nerve Stimulation and the Immune System

In Pisa, Italy, a physiologist worked on an epilepsy model in his lab, I believe it was in cats, and showed that if he induced seizure activity in the brain of the cats and measured it by EEG, but applied electric current, just brief electric pulses to the vagus nerve of those cats, that it would stop the epileptic spikes.

Ground Truths
Vagus Nerve Stimulation and the Immune System

So in the 1980s,

Ground Truths
Vagus Nerve Stimulation and the Immune System

A Philadelphia neuroscientist patented that, cited that Italian's work in his patent, and led to the first clinical trials by a company called Cyberonics.

Ground Truths
Vagus Nerve Stimulation and the Immune System

The first device was implanted by a neurosurgeon named Bill Bell, who was actually my chief resident when I was an intern here at the New York Hospital on neurosurgery.

Ground Truths
Vagus Nerve Stimulation and the Immune System

And it turned out to have very significant benefit helping some patients who would go from having 10 or 20 or 50 seizures an hour to having none or very few.

Ground Truths
Vagus Nerve Stimulation and the Immune System

I mean, putting some people who were homebound back at work and out โ€“

Ground Truths
Vagus Nerve Stimulation and the Immune System

And today we don't know why.

Ground Truths
Vagus Nerve Stimulation and the Immune System

I pretty much just told you most of the science that we know about vagus nerve stimulation and epilepsy.

Ground Truths
Vagus Nerve Stimulation and the Immune System

It seems to work in half the people, but we don't know why.

Ground Truths
Vagus Nerve Stimulation and the Immune System

The other half that it didn't work in, back in the early days, the surgeons would say, well, this isn't helping you.

Ground Truths
Vagus Nerve Stimulation and the Immune System

Patients like, you're not taking out my device.

Ground Truths
Vagus Nerve Stimulation and the Immune System

Surprise, surprising the doctors.

Ground Truths
Vagus Nerve Stimulation and the Immune System

And they asked why?

Ground Truths
Vagus Nerve Stimulation and the Immune System

And the patient says, because I feel better.

Ground Truths
Vagus Nerve Stimulation and the Immune System

It makes me happy.

Ground Truths
Vagus Nerve Stimulation and the Immune System

Based on that, that led to...

Ground Truths
Vagus Nerve Stimulation and the Immune System

clinical trials of using vagus nerve stimulation to treat treatment refractory epilepsy, sorry, depression patients, patients who are out of options with talk therapy, patients who are out of options with medical therapy.

Ground Truths
Vagus Nerve Stimulation and the Immune System

And as it turns out, in years and years of work, it works again about 50% of the time, about half.