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.

🧠 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., Musii (…)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 (…)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 (…)2026-05-07
🧠 neurology

Astrocytic Synapse Engulfment Is Differentially Controlled by APOE Genotype

This study demonstrates that APOE isoforms differentially regulate astrocytic engulfment of synapses, with APOE4 promoting the highest phagocytic activity and the protective APOE3Ch variant failing to reduce this engulfment, suggesting that synapse phagocytosis is not the primary mechanism behind APOE3Ch's protective effect against Alzheimer's disease.

Spires-Jones, T., Sekizar, S., Holt, K., Meyers, S., King, D., Tulloch, J., Jackson, R. J.2026-05-06
🧠 neurology

A Pre-Post Single-Arm Trial of a Multicomponent Intervention for Self-Efficacy Enhancement among an Online Support Group of Primary Caregivers of Children with Neuro Muscular Disorders: SEE-NMD Protocol

This protocol outlines a pre-post single-arm trial in Pakistan evaluating the effectiveness of an eight-week, digitally delivered multicomponent intervention on enhancing self-efficacy among primary caregivers of children with Spinal Muscular Atrophy and Duchenne Muscular Dystrophy.

Aziz, N. I., Khalid, W., Khan, S.2026-05-06
🧠 neurology

Global Socioeconomic Context and Brain Ageing in Epilepsy: an ENIGMA-Epilepsy study

This ENIGMA-Epilepsy study of over 2,000 individuals reveals that while epilepsy is associated with accelerated brain structural ageing, this effect is significantly exacerbated in countries with lower GDP per capita and higher income inequality, highlighting the critical influence of global socioeconomic context on neuroanatomical outcomes.

Pardoe, H. R., Devinsky, O., Robson, J., Ireland, M., Absil, J., Altmann, A., Alvim, M. K., Arienzo, D., Ballerini, A. (…)2026-05-01
🧠 neurology

Cortico-Cortical Paired Associative Stimulation Increases SMA-M1 Facilitation in Tremor-Dominant Parkinsons Disease

This study demonstrates that a single session of cortico-cortical paired associative stimulation (ccPAS) targeting the supplementary motor area and primary motor cortex significantly increases SMA-M1 facilitation in individuals with tremor-dominant Parkinson's disease, although this neurophysiological change did not translate into a reduction in tremor severity.

Jane, J., Rurak, B. K., Helmich, R. C., Rodrigues, J. P., Power, B. D., Drummond, P., Fujiyama, H., Vallence, A.-M.2026-04-30
🧠 neurology

Reproducibility-driven discovery and systematic benchmarking reveal a robust cerebrospinal fluid proteomic signature in Alzheimer's disease

By implementing a reproducibility-driven framework across multiple cohorts, this study identifies and validates a robust 11-protein cerebrospinal fluid signature (PPAV11) that demonstrates superior diagnostic accuracy, prognostic capacity, and cross-context stability for Alzheimer's disease compared to previously published biomarkers.

Zambrano Astorga, M. F., Moreno Ulloa, A.2026-04-28
🧠 neurology

The burden of neurogenic orthostatic hypotension in patients with multiple system atrophy: a real-world study

This real-world study of 259 multiple system atrophy patients reveals that neurogenic orthostatic hypotension is frequently underrecognized and undertreated, leading to severe functional limitations and a high reliance on caregiver support despite pharmacotherapy.

Kmiecik, M. J., O'Brien, L., Szpyhulsky, M., Iodice, V., Freeman, R., Jordan, J., Biaggioni, I., Kaufmann, H., Vickery (…)2026-04-22
🧠 neurology

Multivariate age-related variations in quantitative MRI maps: Widespread age-related differences revisited

This study demonstrates that multivariate analysis of quantitative MRI maps is more sensitive than univariate approaches in detecting widespread, coordinated age-related microstructural changes involving myelin, iron, and water content across multiple brain regions, despite reduced sensitivity upon cross-validation.

Moallemian, S., Bastin, C., Callaghan, M. F., Phillips, C.2026-04-17