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

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., Sa (…)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., P (…)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., 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