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A brain implant switched off depression within minutes

A woman with severe depression had not responded to years of medication or standard brain stimulation before this treatment.

The Crescent Team9 April, 8:20 AMScangos et al., Nature Medicine, 2021 · UCSF2 min read

Researchers at UCSF mapped her brain's electrical activity for days to find a signal that tracked her depressive symptoms specifically, then implanted a device that watches for that exact signal and fires a brief pulse of stimulation the moment it appears.

The team found that a burst of gamma activity in her amygdala tracked symptom severity, and that stimulating a separate region, the ventral capsule and ventral striatum, relieved symptoms when triggered. The implanted device detected the biomarker and delivered a six-second stimulation pulse automatically, and her depression score dropped from severe to minimal within minutes of each triggered dose.

This is a single patient, so the specific biomarker and stimulation site found for her may not transfer directly to someone else's brain, and larger device trials are now testing whether a similar personalized mapping process can be done efficiently in more people. Still, it was the first closed-loop brain stimulation system built around one person's own depression signature.

Crescent Discovery Series cover: A brain implant switched off depression within minutes

Her brain learned to interrupt its own depression.

Source

  1. Scangos, K. W., Khambhati, A. N., Daly, P. M., Makhoul, G. S., Sugrue, L. P., Zamanian, H., Liu, T. X., Rao, V. R., Sellers, K. K., Dawes, H. E., Starr, P. A., Krystal, A. D., & Chang, E. F. (2021). Closed-loop neuromodulation in an individual with treatment-resistant depression. Nature Medicine, 27(10), 1696–1700. https://doi.org/10.1038/s41591-021-01480-w
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