Neurology explores the intricate workings of the brain and nervous system, tackling everything from memory and movement to complex conditions like epilepsy and Alzheimer's. This field seeks to understand how our minds function and what happens when that delicate machinery falters, aiming to improve lives through better diagnosis and treatment.

At Gist.Science, we make the latest research from medRxiv accessible to everyone. We process every new preprint in this category, offering both straightforward plain-language explanations and detailed technical summaries so you can grasp the science at your own pace. Below are the latest papers in neurology, ready for you to explore.

Mapping the Cerebral Burden of Status Epilepticus - Results from a Longitudinal MRI Study

This longitudinal MRI study demonstrates that a single episode of status epilepticus causes measurable, progressive structural brain damage—particularly hippocampal atrophy and cortical thinning—that exceeds normal aging or underlying epilepsy, with the severity of injury being most strongly driven by seizure duration and independently amplified by convulsive semiology and impaired consciousness.

Crespo Pimentel, B., Bosque-Varela, P., Machegger, L., Panebianco, L., Steinbacher, J., Pfaff, J., Xiao, F., Leitinger, M., Trinka, E., Kuchukhidze, G.2026-05-22🧠 neurology

Phase-targeted modulation of essential tremor with transcranial magnetic stimulation of motor cortex

This proof-of-principle study demonstrates that continuous, cycle-by-cycle phase-locked transcranial magnetic stimulation (TMS) of the motor cortex, unlike single-pulse protocols, achieves precise real-time alignment with essential tremor oscillations to induce bidirectional, phase-dependent modulation of tremor amplitude, thereby establishing a scalable framework for personalized, non-invasive neuromodulation therapies.

Mancini, V., Grennan, I., Shackle, N., Vasaturo-Kolodner, T., Sharma, P., Siekmann, A., Kundieko, S., Ferrandes, F., Biller, L., Wendt, K., Ali, K., Rogers, D., Sarangmat, N., Oswal, A., Denison, T. (…)2026-05-20🧠 neurology

Troponin T and Neurofilament Light Chain Levels as Complementary Biomarkers of Disease Accumulation and Aggressiveness in Amyotrophic Lateral Sclerosis

This study demonstrates that serum troponin T and neurofilament light chain serve as complementary biomarkers in amyotrophic lateral sclerosis, with troponin T robustly reflecting disease accumulation across all phases while neurofilament light chain specifically indicates disease aggressiveness, thereby supporting an integrated approach for improved patient stratification and clinical trial design.

Meyer, J., Waldorf, S., von der Gablentz, J., Grehl, T., Nazlican, H., Meyer, T., Grosskreutz, J., Weydt, P., Bernsen, S.2026-05-20🧠 neurology

The α-Synuclein seeding assay discriminates between LRRK2 p.Gly2019Ser variant carriers with and without Parkinson's disease.

This study demonstrates that the alpha-synuclein seed amplification assay effectively distinguishes LRRK2 p.Gly2019Ser variant carriers with Parkinson's disease from unaffected carriers and reveals a significant association between increased mitochondrial genetic burden and alpha-synuclein seeding.

Lüth, T., Gabbert, C., Kleinz, T., Much, C., Laabs, B.-H., Sendel, S., König, I. R., Caliebe, A., Farrer, M., Fiske, B., Blauwendraat, C., Klein, C., Trinh, J., Global Parkinson's Genetics Program ( (…)2026-05-17🧠 neurology

Deep Learning for Automated Meningioma Segmentation: Toward Clinical Integration and Workflow Efficiency

This study demonstrates that a fully automated 3D deep learning model achieves high accuracy and generalizability in segmenting meningiomas on multiparametric MRI, outperforming reference annotations in clinical plausibility while enabling rapid workflow integration.

Fenney, E., Muralidharan, L., Ruffle, J. K., Pandit, A., Millip, M., Hammam, A., Brookes, T., Jabeen, F., Colman, J., Sarwani, O., Alattar, K., Efthymiou, E., Kallam, N., Siddiqui, J., Marcus, H. J. (…)2026-05-15🧠 neurology

Progressive Supranuclear Palsy in India: Insights from a Large Multicenter Clinical Cohort (Project PAIR-PSP)

The Project PAIR-PSP study presents the largest systematically profiled Indian cohort of 1,035 Progressive Supranuclear Palsy patients, revealing a diverse phenotypic distribution with a high frequency of non-Richardson's variants, distinct clinical trajectories across subtypes, and limited pharmacological response to levodopa.

Kukkle, P. L., Garg, D., Ganguly, J., Desai, S. D., Kandadai, R. M., Mehta, S., Wadia, P. M., Joshi, D., Sahoo, L. K., Paramanandam, V., Ashok Vardhan Reddy, T., Mukherjee, A., Krishnan, S., Shetty, K (…)2026-05-14✓ Author reviewed 🧠 neurology

CSF TDP-43: A Novel Biomarker for Limbic-Predominant Age-Related TDP-43 Encephalopathy

This study identifies cerebrospinal fluid (CSF) TDP-43 as a promising novel biomarker for limbic-predominant age-related TDP-43 encephalopathy (LATE), demonstrating that its levels are disproportionately elevated in LATE patients compared to controls, ALS, and Alzheimer's disease, while remaining distinct from the typical Alzheimer's biomarker profile.

Fischer, A.-L., Flosbach, F., Root, E., Breitbarth, M., Goericke, M. B., Schmitz, M., Hermann, P., Zerr, I.2026-05-10🧠 neurology

Sustainable Health Innovation for Global Health Equity: Solar-Powered MRI for Affordable Healthcare in Resource-Limited Settings

This study demonstrates that an affordable solar-powered photovoltaic-battery microgrid can reliably support the operation of an ultra-low-field portable MRI system in a rural Zimbabwean clinic, offering a viable blueprint for expanding diagnostic healthcare access in resource-limited settings.

Papasavva, M., Abate, G. B., Piper, J., Kahari, C., Tavengwa, N. V. B., Mazhanga, C., Chidhanguro, D., Mutero, A., Musiiwa, L., Giampietro, V., Twumasi, R., Clemensson, P., Bennallick, C., Deoni, S. (…)2026-05-10🧠 neurology

One-Year Brain Structural Changes Are Associated with Postoperative Delirium and Delayed Resolution of Interleukin-6

This longitudinal study of older adults undergoing major surgery reveals that postoperative delirium and delayed resolution of interleukin-6 inflammation are significantly associated with one-year structural brain changes, specifically volume loss in the right hippocampus and putamen, as well as cortical thinning in the right superior parietal cortex.

Lv, J., Taylor, J., Curtis, S., Kramer, K., Kunkel, D., Thakur, S., Nair, V., Banks, M. I., Pearce, R. A., Prabhakaran, V., Lennertz, R., Sanders, R. D.2026-05-08🧠 neurology

Generating synthetic tau-PET scans in Alzheimer's disease from MRI, blood biomarkers and demographics with deep learning

This study demonstrates that a deep learning model can accurately synthesize clinically informative tau-PET scans from widely available MRI, blood biomarkers, and demographic data, offering a scalable and cost-effective alternative for estimating Alzheimer's disease tau pathology.

Karlsson, L., Strandberg, O., Smith, R., Tang, W., Arvidsson, I., Astrom, K., Oliviera Hauer, K., Janelidze, S., Stomrud, E., Palmqvist, S., Verghese, P. B., Braunstein, J. B., Alzheimer's Disease Neu (…)2026-05-07🧠 neurology