Women are more prone to long-term damage from strokes
THURSDAY, APRIL 8, 2021 (HealthDay News) kolpeka, women may be at higher risk for persistent physical and mental symptoms, a new study has found.
A study of 2,000 contusion diseases found that women still had some symptoms a few years later than men. Among the problems were blurred memory and difficulty concentrating headaches, dizziness or fatigue.
In contrast, both women and men showed similar recovery time after traumatic injuries to other areas of the body.
The reasons are unclear, but the study is not in the recovery from the blows he found to have sex differences. Many have found that on average women recover more slowly after a contusion, regardless of what caused the injury.
The new study also included a “control” group who had orthopedic injuries to see if women in general tended to recover more slowly from injuries.
And it wasn’t like that.
The finding is important, according to Martina Anto-Ocrah, an assistant professor of emergency medicine and neurology at the University of Rochester Medical Center.
She said the slower recovery of women reinforces the case associated with concussion, specifically.
Anto-Ocrah wrote an editorial with the research on April 6 in the journal JAMA open network.
Although the findings seem very serious, most women bounce back pretty quickly after a stroke.
“We expect most patients to recover within a few weeks,” Anto-Ocrah said, noting that about 90% are back within three months.
But some people have persistent physical, mental, or emotional symptoms for reasons that are not entirely clear.
However, the researchers considered depression and anxiety, and these diagnoses did not appear to explain the more persistent symptoms of women.
Whatever the cause, the findings offer validation. Anto-Ocrah noted that some women encounter skepticism when they tell the doctor that they still have symptoms of stroke a few months after the injury.
“All of this is additional evidence that proves it’s not in the head,” he said.
There are no fixes brain injury. But there are ways to manage the symptoms, Anto-Ocrah said. This means curing problems such as cognitive therapy or persistent headaches for memory or thinking problems.
If women feel that they are experiencing persistent symptoms, ask them to be “persistent” in getting the care they need.
“You can show the research to your provider,” Anto-Ocrah suggested.
The findings are based on 2,000 concussion patients and treated any of the 18 U.S. hospitals with 299 orthopedic injuries.
Over the course of a year, they regularly met standard questionnaires on physical, mental, and emotional symptoms as a sign of post-traumatic stress disorder (PTSD).
On average, female stroke patients scored higher than men in terms of physical and mental function (they had worse symptoms). The gender gap narrowed over time as most patients improved, but was also present a year later.
The research can’t ask why, said lead researcher Harvey Levin, a professor of physical medicine and rehabilitation at Baylor Medical University in Houston.
It is likely, he said, to have something to do with chronic inflammation of the brain tissue or the effects of hormones.
The brain contains estrogen receptors, and some research has shown that women who experience a stroke at certain times of the month tend to have a slower recovery.
In this study, women between the ages of 35 and 49 typically had worse symptoms than younger and older women.
Anto-Ocrah called the discovery “fascinating,” but there is no solid explanation.
It is likely, she speculated, to indicate the effect of hormones because women in that age group are close to menopause.
Future research, Anto-Ocrah said, should be attempted in more depth by conducting “hormonal assessment” of female stroke patients, such as whether they were using birth control hormones, reached menopause, or were undergoing menopausal hormone therapy.
For now, Levin said the findings on age should be viewed with “caution,” and confirmation should be made in further investigations.
The U.S. Centers for Disease Control and Prevention has more concussion recovery.
SOURCES: Harvey Levin, PhD, Professor, Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston; Martina Anto-Ocrah, PhD, MPH, Assistant Professor, Emergency Medicine, Neurology and Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY; JAMA open network, April 6, 2021, online