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

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., Abel, E., Beament, M., Nasir, M., Rice, H., Weston, P. S. J., Ryan, N. S (…)2026-03-31
🧠 neurology

Predicting long term clinical outcomes in Parkinson's Disease using short term rating scales

This study demonstrates a causal modeling approach that translates short-term changes in Parkinson's disease rating scales into long-term predictions of clinically meaningful outcomes, showing that a 30% reduction in disease progression could significantly lower the 10-year risk of dementia, falls, and mortality.

Burnell, M., Gonzalez-Robles, C., Zeissler, M.-L., Bartlett, M., Clarke, C. S., Counsell, C., Hu, M. T., Foltynie, T., C (…)2026-03-30
🧠 neurology

Cognitive and brain reserve in bilingual speakers with clinical AD variants

This study suggests that bilingualism may support cognitive reserve in both amnestic Alzheimer's disease and logopenic variant primary progressive aphasia, allowing bilinguals to maintain comparable cognitive performance to monolinguals despite exhibiting reduced gray matter volume in specific regions, with bilinguals in the logopenic variant additionally showing preserved volume in disease-epicenter areas.

Biondo, N., Suntay, J. M., Sandhu, M., Estaban, J. S., Pillai, J., Mandelli, M. L., Mamuyac, E., Reyes, R.-J. D., Guevar (…)2026-03-30
🧠 neurology

Global Research Architecture and Evolution of Neuroendoscopy for Intracranial Hemorrhage: A Bibliometric Analysis

This bibliometric analysis of 403 publications from the past two decades reveals that neuroendoscopy for intracranial hemorrhage has evolved from a focus on operative feasibility and safety to a precision-based, minimally invasive cornerstone of treatment, driven primarily by Chinese and American research and increasingly integrated with emerging technologies like augmented reality and robotics.

Duan, Z., Huang, M., Peng, Z., Tu, T.2026-03-30
🧠 neurology

Bridging Genetics and Precision Medicine in Parkinson's Disease through GP2

The Global Parkinson's Genetics Program (GP2) identifies a significant global population of 9,019 potentially trial-eligible carriers of pathogenic *GBA1* and *LRRK2* variants among 65,509 Parkinson's disease patients, highlighting a critical disparity between these genetic carriers and the availability of gene-targeted clinical trials while advocating for a unified framework to enable equitable precision medicine recruitment.

Atterling Brolin, K., Lange, L. M., Navarro-Jones, E., Jasaityte, S., Ye Beh, Y., Fang, Z.-H., Iwaki, H., Jones, L., Kle (…)2026-03-28
🧠 neurology

Classification of Recurrence Status After Surgical Treatment of Chronic Subdural Hemorrhage - A Machine Learning Approach

Despite employing rigorous machine learning methods on a large cohort of chronic subdural hematoma patients, this study concludes that routinely available clinical and radiographic variables lack sufficient predictive power to enable clinically actionable risk stratification for surgical recurrence, thereby supporting the maintenance of uniform or symptom-driven surveillance protocols rather than risk-based approaches.

Hamou, H., Kernbach, J., Ridwan, H., Fay-Rodrian, K., Clusmann, H., Hoellig, A., Veldeman, M.2026-03-27
🧠 neurology

Developmental tuning of prefrontal network fluctuations marks functional maturation in infancy

This study utilizes fNIRS to demonstrate that the functional maturation of the infant prefrontal cortex (ages 1–8 months) is characterized by state-dependent developmental tuning of network fluctuation dynamics, where auditory stimulation and age differentially modulate the intensity and frequency distribution of functional connectivity fluctuations during sleep and stimulation.

Li, K., Zhang, Y., Li, Y.2026-03-27
🧠 neurology

Plasmalogens and their Associations with Brain Function and Structure in Older Community Dwelling African Americans

In a cross-sectional study of older African Americans without dementia, higher plasmalogen biosynthesis values were suggestively associated with better global cognitive function and lower levels of white matter hyperintensities, though these findings require validation in larger, longitudinal cohorts.

Weaver, A., Shah, R. C., Du, L., Barnes, L. L., Senanayake, V., Goodenowe, D.2026-03-27