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

Clinical progression in alpha-synuclein positive LRRK2-PD and sporadic Parkinsons disease: a longitudinal analysis

This longitudinal analysis of propensity score-matched cohorts from the Parkinson's Progression Markers Initiative reveals that while alpha-synuclein positive LRRK2-PD patients exhibit milder baseline motor symptoms and dopaminergic deficits compared to sporadic PD, their four-year clinical progression trajectories are statistically similar.

Morse, L. A., Choi, S. H., Lafontant, D.-E., Gochanour, C., Chahine, L. M., Merchant, K. M., Wendelberger, B., Simuni, T (…)2026-03-22
🧠 neurology

Permutation-based inference preserves anatomical specificity in lesion network mapping

This study demonstrates that using symptom-label permutation as a null model in lesion network mapping preserves anatomical specificity and controls type I error, thereby enabling the reliable identification of distinct brain networks underlying specific neurobehavioural deficits across a large multicenter stroke dataset.

Petersen, M., Patil, K. R., Eickhoff, S. B., Biessels, G. J., Meta VCI Map Consortium,2026-03-20
🧠 neurology

Tenecteplase versus alteplase for patients with minor acute ischemic stroke: an analysis of the ORIGINAL clinical trial

This post hoc analysis of the ORIGINAL clinical trial demonstrates that tenecteplase (0.25 mg/kg) is a safe and effective alternative to alteplase (0.9 mg/kg) for treating patients with minor acute ischemic stroke, showing comparable rates of functional independence at 90 days and no significant differences in safety outcomes.

Xu, S., Dai, H., Lu, G., Wang, W., Che, F., Geng, Y., Bao, X., Yan, S., Li, S., Wang, Y.2026-03-20
🧠 neurology

Beta activity reflects change in upper limb activity rather than impairment following high-dose high-intensity upper limb neurorehabilitation in chronic stroke

This study demonstrates that in chronic stroke survivors undergoing high-dose neurorehabilitation, stronger movement-related beta-activity serves as a neurophysiological marker specifically associated with improvements in real-world upper limb activity rather than impairment-level deficits.

Zich, C., Sporn, S., Tedesco Triccas, L., Coll, M., Bestmann, S., Ward, N. S.2026-03-20
🧠 neurology

Peripheral Treg-monocyte immune signatures relate to neurodegeneration and prognosis in patients with primary tauopathies

This study identifies distinct peripheral blood immune signatures in primary tauopathy patients, revealing that a dysregulated axis characterized by impaired monocyte maturation and reduced Treg activity correlates with increased neurodegeneration, cognitive decline, and poorer prognosis, suggesting these cell subsets as potential biomarkers and therapeutic targets.

Lai, K. O., Goddard, J., Crook, H., Frohn, R., Kigar, S. L., Yarkoni, N. S., Swann, P., Durcan, R., Wiggins, J., Li, W. (…)2026-03-19
🧠 neurology

Comparative Analysis of Task-Specific and Combined Upper-Limb EMG Features for Early Parkinson's Disease Classification

This study demonstrates that combining standardized upper-limb tasks with interpretable sEMG feature analysis significantly improves the classification of early-stage Parkinson's disease by capturing complementary motor impairments related to bradykinesia, rigidity, and tremor.

Rey Vilches, J., Gorlini, C., Tolu, S., Thomsen, T. H., Biering-Sorensen, B., Puthusserypady, S.2026-03-18
🧠 neurology

Tracking the Changes in Longitudinal MRI-detected Perivascular Spaces following Ischaemic Stroke

This study demonstrates that ischaemic stroke survivors exhibit significant, dynamic, and region-specific reductions in MRI-detected perivascular space volume and cluster counts compared to healthy controls by 36 months post-stroke, suggesting a potential link between stroke and altered cerebral small vessel disease markers over time.

Pham, W., Khlif, M. S., Chen, Z., Jarema, A., Henderson, L. A., Macefield, V. G. G., Brodtmann, A.2026-03-18
🧠 neurology

Longitudinal effects of CPAP therapy on MRI-Perivascular spaces in obstructive sleep apnoea

This longitudinal study demonstrates that obstructive sleep apnea is associated with enlarged MRI-visible perivascular spaces, which show a trend toward normalization and reduced statistical significance between patients and controls after 12 months of CPAP therapy, suggesting potential regional reversibility of this brain fluid transport marker.

Pham, W., Rim, D., Jarema, A., Chen, Z., Khlif, M. S., Brodtmann, A., Henderson, L. A., Macefield, V. G.2026-03-18
🧠 neurology

A brain-persistent DDR2-degrading antibody reverses Alzheimer's pathologies by restoring brain fluid dynamics and metabolic clearance

This study identifies the upregulation of the DDR2 receptor in specific brain cells as a key driver of Alzheimer's disease neurovascular dysfunction and demonstrates that a brain-persistent antibody targeting DDR2 for degradation restores fluid dynamics and metabolic clearance, thereby reversing pathologies and rescuing cognitive deficits in mouse models.

Yang, P., chen, x., Ding, j., Peng, y., Lei, z., Su, J.2026-03-18