Brain implants to treat epilepsy, arthritis, or even incontinence? They may be closer than you think

Oran Knowlson, a British teenager with a severe type of epilepsy called Lennox-Gastaut syndrome, became the first person in the world to trial a new brain implant last October, with phenomenal results – his daytime seizures were reduced by 80%. "It's had a huge impact on his life and has prevented him from having the falls and injuring himself that he was having before," says Martin Tisdall, a consultant paediatric neurosurgeon at Great Ormond Street Hospital (Gosh) in London, who implanted the device. "His mother was talking about how he's had such a improvement in his quality of life, but also in his cognition: he's more alert and more engaged." Oran's neurostimulator sits under the skull and sends constant electrical signals deep into his brain with the aim of blocking abnormal impulses that trigger seizures. The implant, called a Picostim and about the size of a mobile phone battery, is recharged via headphones and operates differently between day and night. "The device has the ability to record from the brain, to measure brain activity, and that allows us to think about ways in which we could use that information to improve the efficacy of the stimulation that the kids are getting," says Tisdall. "What we really want to do is to deliver this treatment on the NHS."