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Sex and gender-related differences in neurological diseases: current challenges and recommendations for clinical practice

Title: Sex and gender-related differences in neurological diseases: current challenges and recommendations for clinical practice
Authors: Cicero, Calogero Edoardo; Angelini, Luca; Abbadessa, Gianmarco; Bruno, Matilde; Fiume, Giulia; Nucera, Bruna; Ornello, Raffaele; Arabia, Gennarina; Giuliano, Loretta; Guarnieri, Biancamaria; Lugaresi, Alessandra; Perani, Daniela; Sacco, Simona; Tassorelli, Cristina; Nicoletti, Alessandra; Pellecchia, Maria Teresa; null, null
Contributors: Cicero, Calogero Edoardo; Angelini, Luca; Abbadessa, Gianmarco; Bruno, Matilde; Fiume, Giulia; Nucera, Bruna; Ornello, Raffaele; Arabia, Gennarina; Giuliano, Loretta; Guarnieri, Biancamaria; Lugaresi, Alessandra; Perani, Daniela; Sacco, Simona; Tassorelli, Cristina; Nicoletti, Alessandra; Pellecchia, Maria Teresa; Null, Null
Publisher Information: Springer
Publication Year: 2026
Collection: Sapienza Università di Roma: CINECA IRIS
Subject Terms: Alzheimer’s disease; Epilepsy; Headache; Multiple sclerosi; Parkinson’s disease; Sex-difference; Stroke
Description: Neurological diseases include a large variety of conditions ranging from inflammatory, vascular and neurodegenerative disorders to epilepsy and headache. The impact of sex and gender on various aspects of these conditions (epidemiology, risk factors, pathophysiology, clinical features, treatment, and management of pregnancy and breastfeeding) is still not entirely taken into consideration, despite a rapidly increasing body of evidence. This position paper covers six neurological conditions (Alzheimer's Disease, Cerebrovascular disease, Parkinson's disease, Epilepsy, Headache disorders, Multiple Sclerosis) providing an overview of available evidence on sex and gender differences, identifying knowledge gaps and providing recommendations for clinical practice and future studies. We recommend taking into consideration modifiable sex and gender specific risk factors, the role of hormones across women's lifespan and a personalized treatment approach based on gender. We also recommend that future efforts should be devoted to increase the representation of women in clinical studies, to promote sex and gender-based guideline production and to better characterize the safety profile in pregnancy of newer drugs.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/41493656; volume:47; issue:1; numberofpages:32; journal:NEUROLOGICAL SCIENCES; https://hdl.handle.net/11573/1758193
DOI: 10.1007/s10072-025-08623-8
Availability: https://hdl.handle.net/11573/1758193; https://doi.org/10.1007/s10072-025-08623-8
Rights: info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.9BD4D4C3
Database: BASE