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These studies suggest that women often experience both traditional stroke symptoms like sudden weakness/numbness and trouble speaking, as well as nontraditional symptoms such as altered mental status and somatic complaints.
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Women often experience unique stroke symptoms that differ from the traditional signs commonly recognized in men. These unique symptoms include nausea, vomiting, headache, dizziness, and cognitive dysfunction. These nontraditional symptoms can lead to delays in recognition and treatment, as they are not always included in standard stroke assessment tools .
Despite the presence of unique symptoms, women also exhibit traditional stroke warning signs. These include sudden weakness or numbness of the face, arm, or leg, particularly on one side of the body, as well as trouble speaking or understanding speech . However, awareness of these signs is generally low among women, with fewer than 25% recognizing symptoms like sudden severe headache, unexplained dizziness, or sudden vision loss.
Research indicates that women are more likely than men to present with nontraditional stroke symptoms. These include generalized weakness, mental status changes, confusion, dysphagia, fatigue, headache, urinary incontinence, loss of consciousness, and altered mental status . In contrast, men are more likely to present with symptoms such as ataxia, dysarthria, dizziness, gait disturbance, and imbalance .
The recognition of stroke symptoms is crucial for timely treatment. Studies show that women are more likely to recognize all traditional stroke warning signs compared to men, and they are also more likely to call 9-1-1 when experiencing these signs. However, the presence of nontraditional symptoms in women can lead to misdiagnosis or delayed diagnosis, impacting treatment outcomes .
Understanding the unique and traditional stroke symptoms in women is essential for improving early diagnosis and treatment. While women may recognize traditional stroke signs more frequently, the prevalence of nontraditional symptoms necessitates a broader awareness and inclusion in stroke assessment protocols. Enhanced education and tailored public health campaigns can help bridge the gap in symptom recognition and ensure timely medical intervention for women experiencing a stroke.
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