This Neurological Disease Kept People Sleeping for 40 Years

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About 100 years ago, over a million people contracted a mysterious disease called encephalitis lethargica that left people in a sleepy state for decades. A breakthrough would finally come years later when a neurologist named Oliver Sacks took an unconventional approach to his patients.
This episode is made possible thanks to HHMI Tangled Bank Studios.

In the decade after World War One, over a million people contracted a mysterious neurological disease called encephalitis lethargica. Sometimes, patients would experience headaches, fever, vertigo, or trouble sleeping but then make a full recovery. Others became comatose and died. And still others afflicted with the disease slipped into a sleepy, almost comatose state that they never recovered from. They presented with paralysis of the eye muscles, double vision, and sometimes lost control of their facial muscles, rendering them expressionless. But no two cases were the same, and doctors never figured out what caused the disease or any good treatment options.

The epidemic hit its peak in the 1920s and left up to half a million people dead. But a number of patients survived in the sleepy state for decades. Then thirty years later in the 1950s, researchers made a breakthrough into the body's production of the chemical dopamine—sometimes known as the happiness chemical. Dopamine treatment was thought to be a miracle cure for Parkinson’s disease, and an unconventional and empathetic neurologist named Oliver Sacks wondered if it could also help the forgotten encephalitis lethargica patients, bringing them back into the world after decades in their sleepy states.

You may have heard of Oliver Sacks before, but let me tell you, this dude was cool. He rode motorcycles with the Hells Angels and was a competitive weightlifter who at one point squatted 600 pounds! But more than anything, he was a misfit in the medical community – and it was his approach as a clinician that set him apart.

#oliversacks #encephalitislethargica #awakenings #neurology #dopamine #human #physiology #seeker #humanseries

Read More:
Oliver Sacks
“In the late 1960s, Sacks met a group of patients at Beth Abraham Hospital in New York's Bronx who had contracted sleeping sickness just after World War 1. He treated them with the experimental drug L-DOPA and watched as they “awakened” from a frozen state that had lasted decades. His book Awakenings described the events and was later adapted into a play and a film.”

100 Years Later: The Lessons Of Encephalitis Lethargica
“In 1917, at the height of the Great War, a new and mysterious disease emerged into the world, before vanishing a few years later. Although it was to prove less destructive than the 1918 influenza pandemic which occurred at around the same time, the new outbreak had a persistent legacy: some of the victims of the disease remained disabled decades later.”

The fading trail of the sleepy wraith
“Encephalitis lethargica was an enigma throughout its one and only epidemic. All those who have concerned themselves with this disease have been impressed, above all, by its strangeness — no fiction author would have had the temerity to invent a disorder of such incredible clinical diversity and puzzling behavior — and then the mystery was deepened, and its solution perhaps rendered inaccessible, by its unexpected disappearance.”

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This Seeker health series will dive deep into the cellular structures, human systems, and overall anatomy that work together to keep our bodies going. Using the visual structure and quick pacing of Seeker’s Sick series, these human bio-focused episodes will give a new audience an inside look on what’s happening inside all of us.

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Host and writer here, this was a super fun one to make. I’ve had Awakenings on my shelf for a while, so it was a treat to dive into its history and science! Hope you liked it!

PatKellyTeaches
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I really think Oliver Sacks is how all neurologists and doctors should approach patient care. He was such an amazing, open minded person. I have had my fair share of horrible doctors in the past and I really wish more people were like him.

cyancoyote
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I think 'Awakening' was the first movie that made me cry as an adult... What a great movie and what a great human being!

bulasev
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It's so cool how Oliver Sacks described his patients with such detail and humanity.

amplisci
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I was 10 when the movie came out. It was so heartbreaking yet amazing and a truly amazing breakthrough. Even if it only lasted a short time.

projectw.a.a.p.f.t.a.d
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Damn, it’s nice to hear that at least one of medicines most empathetic doctors also practised in a time where we mostly hear about cruelty in the field.

sandraviknander
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I didn't know about this doctor and I've never heard of that movie. I'm going to watch it this weekend

hyrunnisa
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You should continue thhis story and mystery with the MDA overdose of the mid 1970's PBS did a fantastic show about it on NOVA back in the early 90s.. Drug users were becoming paralysed and no one knew why.Both problems were connected to Dopamine and L-Dopa.

Shaden
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Hopefully someone can come along and help with myalgic encephalitis one day as it's somewhat similar and highly disabling

alcurtis
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Rober De Nero and late Robin Williams!! *Awakenings* 🔥👍

jprakash
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I could immediately tell by his beard that it was the real story behind "Awakenings" with Robbin Williams.

Edit: oh nvm it was mentioned

Zenheizer
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Oliver Sacks’ history is so fascinating! Also, I wonder if L-Dopa has the same issue with drug resistance in Parkinson’s patients. My grandad takes L-Dopa, and seems to be working wonders for him.

salgadovalerio
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Came for Morpheus of the Endless, stayed for Dr. Oliver Sacks.

synapse_sliver
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There is a movie on Dr. Oliver Sacks played by Robin Williams - Awakenings ... Also starring Robert DiNero

One of my favourite movie

imranchoudhry
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No muscle wants to function.
Yet the heart keeps beating.

Fascinating.

lotuspocus
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"I'd be more apathetic if I weren't so lethargic" - family guy

ImYourProblem
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Dr. Sac‘s approach here is a very well needed *qualitative* approach and research of the disease. It strikes me as insane to see research as only doing quantitative statistics work there. While it may be true that quantitative work helps finding an overall objective result, it unfortunately also ignores the individual case by case differences and influences. And to determine these you *need* qualitative research to find a clear result. Overall you need both the quantitative and the qualitative approaches to research to find reliable and usable results and to conclude more from for the future.

somerandomgal
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I’m more interested in the condition and it’s prevalence today.

dougg
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Their brain is swallowing up all their dopamine slowly and when it finally got new dopamine it worked for a bit until the brain caught up to swallowing the dopamine?

splitbrainlife
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i saw the title and immediately knew it was encephalitis lethargica after watching Awakenings with robin williams and robert deniro :)

hannahdavis
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