title: Treatment of bipolar, seizure, and sleep disorders and migraine headaches utilizing a chiropractic technique.
abstract: OBJECTIVE
  To discuss the use of an upper cervical technique in the case of a 23-year-old male patient with rapid-cycling bipolar disorder, sleep disorder, seizure disorder, neck and back pain, and migraine headaches.
  
  
  METHODS
  The patient participated in a high school track meet at age 17, landing on his head from a height of 10 ft while attempting a pole vault. Prior to the accident, no health problems were reported. Following the accident, the patient developed numerous neurological disorders. Symptoms persisted over the next 6 years, during which time the patient sought treatment from many physicians and other health care practitioners.
  
  
  RESULTS
  At initial examination, evidence of a subluxation stemming from the upper cervical spine was found through thermography and radiography. Chiropractic care using an upper cervical technique was administered to correct and stabilize the patient's upper neck injury. Assessments at baseline, 2 months, and 4 months were conducted by the patient's neurologist. After 1 month of care, the patient reported an absence of seizures and manic episodes and improved sleep patterns. After 4 months of care, seizures and manic episodes remained absent and migraine headaches were reduced from 3 per week to 2 per month. After 7 months of care, the patient reported the complete absence of symptoms. Eighteen months later, the patient remains asymptomatic.
  
  
  CONCLUSIONS
  The onset of the symptoms following the patient's accident, the immediate reduction in symptoms correlating with the initiation of care, and the complete absence of all symptoms within 7 months of care suggest a link between the patient's headfirst fall, the upper cervical subluxation, and his neurological conditions. Further investigation into upper cervical trauma as a contributing factor to bipolar disorder, sleep disorder, seizure disorder, and migraine headaches should be pursued.
authors.affiliation: erin@erinelster.com
authors.forename: Erin L
authors.initials: EL
authors.lastname: Elster
mesh_terms: D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000150:complications; D001714:Bipolar Disorder / Q000209:etiology / Q000628:therapy*; D001270:Cervical Atlas / Q000293:injuries; D002574:Cervical Vertebrae / Q000293:injuries*; D006801:Humans; D008297:Male; D026882:Manipulation, Chiropractic / Q000379:methods; D008881:Migraine Disorders / Q000209:etiology / Q000628:therapy*; D019838:Neck Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D019547:Neck Pain / Q000209:etiology / Q000628:therapy; D011859:Radiography; D012640:Seizures / Q000209:etiology / Q000628:therapy*; D012893:Sleep Wake Disorders / Q000209:etiology / Q000628:therapy*; D013180:Sprains and Strains / Q000209:etiology / Q000628:therapy; D013817:Thermography; D013997:Time Factors; D016896:Treatment Outcome