In the 1968 TV movie They Saved Hitler's Brain, the Führer doesn't shoot himself in his Berlin bunker. As Allied bombs fall, his scientists offer a better deal: remove his head, keep it alive in a jar and smuggle it to South America to wait for the Third Reich's comeback. It may be one of the worst movies ever made. Every year, the premise gets a little less ridiculous.
Onions, vapors and guesswork
For most of history, nobody had a clue what the brain was for. Aristotle figured its main job was to cool off the heart, with a side gig giving the spirit a place to hang out. In the 1st century AD, the Roman physician Aelius Galenus correctly moved thinking into the head, while also declaring the brain "a cold and moist organ made up entirely of sperm."
Medieval thinkers split it into three ventricles, or compartments: imagination in front, memory in back, reason in the middle. Renaissance anatomists finally started cutting. The Italian doctor Jacopo Berengario da Carpi, famous for treating syphilis with mercury, compared slicing a human head to slicing an onion. Leonardo da Vinci didn't buy the ventricle theory and went hunting for the soul "somewhere in all of that wrinkly goo." Even the skull's 17 sutures, the seams where its bones fuse, were thought to exist so the brain could let off its vapors.
Progress came slowly. Andreas Vesalius worked out the central nervous system in the 16th century. In the 18th, Galvani proved that electrical impulses drive it. Mary Shelley read up on his work, and it inspired the way Victor brings his monster to life in Frankenstein.
Thirteen pounds of iron
On September 13, 1848, Phineas Gage, a 25-year-old contractor on the Burlington Railroad, was blasting rock. The job went like this: pack gunpowder into a drilled hole, pour sand on top, then tamp it down with an iron rod. Gage assumed his assistant had poured the sand. He hadn't. The iron struck a spark off the rock, the powder went off, and the rod fired out of the hole like a bullet. It was more than three and a half feet long, pointed at one end and heavier than 13 pounds. It went in below his cheekbone, came out near the top of his head, and was found "actually greased with the matter of the brain."
Gage never lost consciousness. He climbed into a cart, called out to a co-worker that he'd see him tomorrow, and walked upstairs to his rented room. His mother raced in from New Hampshire, expecting to find him dead. An infection left him barely conscious for a month, and someone ordered a coffin. Then the fever broke. Gage woke up blind in his left eye, but otherwise alive.
His physician, Dr. John Harlow, could see he wasn't the same man. The once-capable foreman was now "fitful, irreverent, indulging at times in the grossest profanity." The railroad wouldn't take him back, and his friends said he was "no longer Gage." He toured with Barnum's circus as a sideshow act, carrying the iron rod, worked in livery stables and spent seven years in Chile. He developed epilepsy and died during a seizure in 1861, at 37. Harlow waited 20 years to publish anything, putting his patient's privacy ahead of his own reputation.
The medical establishment scoffed until the Scottish neurologist Sir David Ferrier removed the frontal lobes of monkeys and saw "a very decided alteration in the animal's character and behavior." Tracing the rod's path, Ferrier showed it had torn through Gage's prefrontal cortex, the region that handles attention, planning and impulse control. Harlow had been right all along.
A needle in Mary Rafferty
Mary Rafferty, an Irish immigrant in her 30s, fell into a fire as a child. The scars forced her into wigs of goat or horse hair stiffened with whalebone, and the whalebone rubbed a sore that turned into an ulcer. It ate through her skull until part of her brain lay exposed. At Good Samaritan Hospital in Cincinnati, Dr. Roberts Bartholow noted that "the pulsations of the brain were clearly visible."
He saw a chance, not a patient. His colleagues only had animal brains to study, and here was a living human one. Whether Mary consented is unclear. Over a week, he pushed electrified needles into her brain and turned up the current. "Her countenance exhibited great distress, and she began to cry." She foamed at the mouth, convulsed for more than five minutes, slipped into a coma and died.
Other doctors were outraged. Bartholow apologized, sort of: doing it again would be "the highest degree criminal," and he regretted results "obtained at the expense of some injury to the patient." His career rolled on at Jefferson Medical College in Philadelphia. He's credited with proving cortical excitability in a human being, work that laid the foundation for modern brain mapping. Mary's part in it has only recently been acknowledged.
The brain in a jar isn't just a B-movie plot anymore. Scientists grow tiny human brains in dishes that sprout light-sensitive eyes and give off brain waves like a newborn's, and nobody knows how to test whether they're aware.
Brains the size of a fruit fly
In 2015, a team at Ohio State announced it had grown a human brain from an adult's skin cells. It was about the size of a pencil eraser, with 99% of the brain's cell types, a spinal cord and a retina. The work was military research into traumatic brain injury and PTSD.
Science now has three kinds of brain surrogates. There's ex vivo tissue, a sugar-cube-sized chunk removed during surgery. There are chimeras, animals carrying human cells: mice given human brain cells learned certain tasks better, and pig embryos injected with human stem cells developed hearts and livers in which about one cell in 10,000 was human. That's a long-shot hope for transplant waiting lists, where 17 people die every day. Then there are organoids, miniature organs grown from stem cells. A brain organoid holds 2 to 3 million cells, compared with roughly 170 billion in an adult brain. Researchers use them to study autism, Lewy body dementia and the damage that quats, chemicals found in fabric softener and dryer sheets, do to the brain cells that carry signals.
Eye cups in the broth
They look like whitish blobs floating in brownish broth, and researchers assumed they were just chaotic clumps of cells. Then German scientists added retinoic acid, a vitamin A derivative, on day 20. By day 60 the organoids had grown visible eye structures, called eye cups, and those eyes respond to light. Organoids now live for years. Set next to spinal cord and back muscle from mouse embryos, one sent branches into the tissue in less than a month and made the muscle twitch. Their electrical activity looks strikingly like a newborn baby's brain waves.
Dr. Thomas Hartung of Johns Hopkins has no doubts: "So they are definitely not conscious." Dr. Alysson Muotri, a leading organoid researcher, points out that no one even agrees on how to test for consciousness. And if nobody can measure awareness or pain, how will anyone know when the line has been crossed? Maybe those campy old movies had a point.
