https://www.sciencedirect.com/science/article/pii/S2405844023020613

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458772/

While I do not see a lot of patients with epilepsy, they periodically show up in clusters at the office , and as a nerd loving all things scientific I was fascinated by a recent podcast from a colleague who does work a lot with that specific medical population. The connection works as follows: there is increasing well documented medical evidence based on imaging that a predisposition to seizure activity in a part of the brain is a decreased blood flow to the area. The decreased blood flow means less available nutrients that help maintain adequate energy production in neurons, so they will not randomly fire off, meaning that decreased blood flow decreases electrical firing threshold. In turn, we know from much confirmed research that reversed cervical sagittal alignment such as altered lateral cervical curve can be associated with decreased blood flow to the brain. So the final equation is: abnormal cervical sagittal curve alignment equals decreased cerebral blood flow equals potential threshold for seizure. This especially caught my attention as I'm slowly working my way through 1 of my (unfortunately deceased) colleague's book on the impact of upper cervical cranial alignment on cerebral blood flow. Cervical sagittal alignment and postural distortion really is not just about posture and pain, but has widespread ramification on neurology and it turns out, their domino effect of altered cerebral blood flow and vascular input in and out of the cervical spine to the head.