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Another important consideration for neurologists is the management of LGBTQIA people. The LGBTQIA population comprises millions of people worldwide, making research specific to this population important.
more than 40% of neurologists believe that management of neurological illness does not need to be different for people who identify as LGBTQIA. However, the LGBTQIA population has many specific health needs.
LGBTQIA individuals with dementia face particular challenges, such as fear of discrimination by the health-care provider and difficulties in expressing their sexual identity during the course of the disease (appendix).
Also, some causes of secondary headache have specific mechanisms in LGBTQIA patients. For example, hormone therapy used by transgender women increases the severity of migraine and might predispose to secondary causes of headache, such as cerebral venous thrombosis and idiopathic intracranial hypertension (appendix). In a cohort study, transgender women had a 15% higher 6-year cumulative incidence of ischaemic stroke compared with their cisgender counterparts (matched by age, ethnicity, and study site).
I declare no competing interests.
Supplementary Material
References
- 1.
Approach and management to patients with neurological disorders reporting sexual dysfunction.
Lancet Neurol. 2022; 21: 551-562
- 2.
American Academy of Neurology members’ preparedness to treat sexual and gender minorities.
Neurology. 2019; 93: 159-166
- 3.
Correlates of subjective cognitive decline in lesbian, gay, bisexual, and transgender older adults.
J Alzheimer Dis. 2018; 64: 91-102
- 4.
Health behaviors and social determinants of migraine in a Canadian population-based sample of adults aged 45-85 years: findings from the CLSA.
Headache. 2019; 59: 1547-1564
- 5.
Cross-sex hormones and acute cardiovascular events in transgender persons: a cohort study.
Ann Intern Med. 2018; 169: 205-213
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© 2022 Elsevier Ltd. All rights reserved.
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