Evidence map›Paper›PMID 41493656›Full record

ReviewNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026

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

Calogero Edoardo Cicero, Luca Angelini, Gianmarco Abbadessa, Matilde Bruno, Giulia Fiume, Bruna Nucera, Raffaele Ornello, Gennarina Arabia, Loretta Giuliano, Biancamaria Guarnieri and 7 more

Abstract readReview
In one paragraph

Review in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. The shared-family environmental hypothesis for sex differences in cognitive decline: support from an Italian general population twin study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  5. Article
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Calogero Edoardo CiceroDepartment of Medical, Surgical and Advanced Technologie "G.F. Ingrassia", University of Catania, Catania, Italy.
Luca AngeliniIRCCS Neuromed, Pozzilli, IS, Italy.
Gianmarco AbbadessaDepartment of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.
Matilde BrunoMemory Clinic and Neurodegenerative Dementia Research Unit, University of Rome Tor Vergata, Rome, Italy.
Giulia FiumeUOC Neurologia, IRCCS Centro Neurolesi Bonino-Pulejo, Messina, Italy.
Bruna Nucera⁠Department of Neurology, Hospital of Merano (SABES-ASDAA), Teaching Hospital of the Paracelsus, Medical Private University (PMU), Merano-Meran, Italy.
Raffaele OrnelloDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Gennarina ArabiaInstitute of Neurology, Department of Medical and Surgical Sciences, University "Magna Graecia", Catanzaro, 88100, Italy.
Loretta GiulianoNeurology Clinic, University Hospital G. Rodolico San Marco, Catania, Italy.
Biancamaria GuarnieriDepartment of Neurology Villa Serena Hospital Città Sant´ Angelo, Center of Sleep Medicine, Pescara, Italy.
Alessandra LugaresiDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Daniela PeraniVita-Salute San Raffaele University, Milan, Italy.
Simona SaccoDepartment of Applied Clinical Sciences and Biotechnology, University of L'Aquila, L'Aquila, Italy.
Cristina TassorelliDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Alessandra NicolettiDepartment of Medical, Surgical and Advanced Technologie "G.F. Ingrassia", University of Catania, Catania, Italy.
Maria Teresa PellecchiaDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", Neuroscience Section,, University of Salerno, Salerno, Italy. mpellecchia@unisa.it.ORCID http://orcid.org/0000-0002-6217-313X
SIN Gender Neurology Study Group and SinDem Sex and gender differences in dementia Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Nervous System DiseasesSex CharacteristicsFemaleHumansMalePregnancyAlzheimer’s diseaseEpilepsyHeadacheMultiple sclerosisParkinson’s diseaseSex-differencesStroke

Identifiers

PMID41493656
PMCPMC12775081

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.