Trends in thiamine treatment patterns for Wernicke encephalopathy in Japan for 2010-2023: A nationwide descriptive study

This nationwide descriptive study of 7,856 Japanese patients with Wernicke encephalopathy from 2010 to 2023 reveals a significant shift toward high-dose thiamine treatment over time, yet highlights that despite early intervention and low in-hospital mortality, a substantial proportion of patients still experience functional impairment at discharge, underscoring the need for further research on optimal dosing and prevention.

Yamagata, N., Kimura, Y., Matsui, H. + 1 more2026-04-04🧠 neurology

Structural and Functional Connectomic Signatures of Durable Tremor Control After MRgFUS Thalamotomy in Parkinsons Disease

This study identifies specific structural and functional connectomic signatures—characterized by enhanced connectivity to motor/sensory cortices and a precise lesion location at the VIM-VO-VC interface—that predict durable tremor control in Parkinson's disease patients undergoing MRgFUS thalamotomy, thereby supporting the development of network-guided targeting strategies.

Krauss, J., Upadhyay, N., Daamen, M. + 9 more2026-04-02🧠 neurology

Mortality and Morbidity in Anterior Versus Posterior Circulation aSAH: A Systematic Review and Meta-Analysis.

This systematic review and meta-analysis of 2,611 patients indicates that aneurysm location (anterior vs. posterior circulation) does not independently influence mortality, functional recovery, hydrocephalus, or delayed cerebral ischemia following aSAH, with symptomatic cerebral vasospasm being the only significant location-specific difference and admission neurological grade emerging as the primary determinant of outcomes.

Tripurari, S. S., Nayak, R., A, R. + 5 more2026-04-02🧠 neurology

Reduced brain entropy in migraine with partial restoration during attacks: a resting-state fMRI study

This resting-state fMRI study reveals that migraine patients, particularly those with chronic migraine, exhibit widespread reductions in brain entropy reflecting impaired neural adaptability, which are associated with greater clinical burden but show partial restoration during attacks through weakly chaotic dynamics in multisensory integration regions.

Saberi, M., Kim, D. J., Hu, X.-S. + 1 more2026-03-31🧠 neurology

Cerebrospinal fluid metabolomic profiles associate with neurological recovery after shunt surgery in normal pressure hydrocephalus

This study demonstrates that preoperative cerebrospinal fluid metabolomic profiles, particularly those reflecting redox balance, immune-metabolic signaling, and energy utilization, can serve as reliable biomarkers to predict neurological recovery following shunt surgery in patients with normal pressure hydrocephalus.

Duan, L., Tiemeyer, M. E., Leary, O. P. + 13 more2026-03-31🧠 neurology

Multimodal Biomarker-Guided Deep Brain Stimulation Programming in Parkinson's Disease: The DBSgram Framework

This paper introduces DBSgram, a multimodal framework that integrates subthalamic nucleus local field potentials and wearable kinematic data to enable objective, data-driven Deep Brain Stimulation programming for Parkinson's disease by visualizing the relationship between stimulation parameters, neural activity, and motor symptom improvement.

Melo, P., Carvalho, E., Oliveira, A. + 9 more2026-03-31🧠 neurology

The dynamics of glutamate receptor subunit GluN1 concentration in urinary astrocyte-derived extracellular vesicles from a patient with anti-NMDAR encephalitis

This study demonstrates that longitudinal analysis of urinary astrocyte-derived extracellular vesicles can non-invasively track real-time dynamics of brain GluN1 receptor concentrations in anti-NMDAR encephalitis, revealing both a treatment-associated decline and drug-induced oscillations that mirror cerebrospinal fluid changes.

Mei, J., Chen, M.-m., Yang, Q. + 8 more2026-03-31🧠 neurology

Presymptomatic plasma biomarkers in autosomal dominant Alzheimer's disease: sequence and timing

This study utilized a longitudinal cohort of autosomal dominant Alzheimer's disease mutation carriers to identify a sequential cascade of nine plasma protein biomarkers that diverge from non-carriers between 26 and 6 years prior to expected symptom onset, offering a refined framework for staging presymptomatic disease and optimizing clinical trial design.

Belder, C. R. S., Heslegrave, A. J., Swann, O. + 11 more2026-03-31🧠 neurology

A unified model for staging amyloid and tau pathology in Alzheimer's disease

This study presents a rigorously validated, data-driven six-stage model that jointly characterizes the spatial progression of both amyloid and tau pathologies in Alzheimer's disease using a large multi-study PET imaging cohort, demonstrating strong associations with cognitive decline and offering a scalable framework for understanding disease heterogeneity.

Earnest, T. W., Yang, B. Y., Chowdhury, A. + 10 more2026-03-31🧠 neurology

The efficacy and safety of argatroban with clopidogrel versus aspirin with clopidogrel for acute minor ischemic stroke (ACAP): study protocol for a multicenter, randomized controlled trial

The ACAP study is a multicenter, randomized controlled trial protocol designed to evaluate the efficacy and safety of combining argatroban with clopidogrel versus aspirin with clopidogrel for improving 90-day outcomes in patients with acute minor ischemic stroke presenting within 72 hours of onset.

Zhang, H., Ma, X., Xiao, Y. + 18 more2026-03-31🧠 neurology