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The brain
16 questions · Health & Medicine
On 13 September 1848 a blast in Vermont drove an iron rod more than a metre long through the head of a railway worker named Phineas Gage. He survived, was talking again within minutes and rode to the doctor sitting upright. Yet his friends said he was “no longer Gage”: the dependable foreman had become moody and erratic. For the first time, medicine suspected that even personality has a place in the brain.
This organ weighs just under 1.4 kilograms but uses about 20 percent of the body’s energy. Its roughly 86 billion neurons swap chemical messengers at synapses: dopamine drives the reward system, serotonin is the target of many antidepressants. The cerebellum keeps us balanced, the brainstem runs breathing and heartbeat, the hypothalamus controls temperature, hunger and thirst, and the corpus callosum links the two hemispheres.
Much of what we know comes from patients. In 1861 Paul Broca examined a man who could say only a single syllable and traced the damage to the region now called Broca’s area; a few years later Carl Wernicke described Wernicke’s area, which handles understanding speech. In 1953 a surgeon removed large parts of both hippocampi from the patient known as H. M., Henry Molaison, to ease his epilepsy. Afterwards he could no longer form new memories.
Today researchers can watch the brain at work, from the EEG, which has recorded brain waves since 1924, to scans in which the amygdala lights up with fear.
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