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

Genetic susceptibility to Lewy body disease and the distribution of Lewy pathology

This study utilizes autopsy-confirmed Lewy body disease cohorts to demonstrate that while major genetic susceptibility loci are shared with clinically diagnosed cases, the APOE4 variant uniquely influences both disease risk and the neocortical extent of Lewy pathology, independent of Alzheimer's disease co-pathology.

Wu, L. Y., Taylor, J. W., Valori, M., Georgiades, T., du Toit, T., Gil-Martinez, A.-L., Stafford, E. J., Levine, K., Fan (…)2026-10-24
🧠 neurology

A digital biomarker of white-matter routing from diffusion MRI as an early biomarker of Alzheimer's disease

This study introduces the Route Concordance Index (RCI), a diffusion MRI-based graph-theoretic biomarker of periventricular white-matter routing that effectively tracks Alzheimer's disease progression from preclinical stages to clinical conversion, offering predictive accuracy comparable to established structural markers while providing a cleaner, monotonic decline across the disease trajectory.

Schlachetzki, J. C. M., Ghodrat, M.2026-10-24
🧠 neurology

Feature harmonization reveals that apparent cross-cohort differences in tau-positivity prediction reflect variable availability and cohort stage structure

This study demonstrates that apparent cross-cohort differences in tau-positivity prediction between ADNI and OASIS3 are largely artifacts of variable availability and disease-stage composition rather than genuine biological divergence, highlighting the critical need for strict feature harmonization and stage-aware modeling in Alzheimer's biomarker research.

Bhat, A., Cestari, M., Chen, C.-T., Fleming, B. T., Fleming, G. T., for the Alzheimer's Disease Neuroimaging Initiative,2026-10-21
🧠 neurology

Reproducible cerebrospinal fluid proteomic signatures across early neuronal α-synuclein disease stages in PPMI

This study identifies reproducible cerebrospinal fluid proteomic signatures across early neuronal α-synuclein disease stages, revealing distinct synaptic and neurosecretory protein patterns that differentiate disease progression and predict phenoconversion, thereby offering potential biomarkers to optimize cohort enrichment for Parkinson's disease prevention trials.

Weber, S., Zaplatnikov, Y., Kyriachenko, Y., Scherer, J., Bartl, M., Hansson, O., Mattsson-Carlgren, N., Brazel, D. M. (…)2026-10-20
🧠 neurology

Functional and Organic Pseudo-Orthostatic Tremor: Clinical Features, Electrophysiology, and Treatment Outcomes in a Retrospective Cohort

This retrospective study of 35 patients characterizes pseudo-orthostatic tremor as a condition predominantly associated with essential tremor or functional neurological disorders, highlighting distinct surface electromyography features that differentiate organic and functional subtypes and informing treatment outcomes.

Querejeta-Coma, A., Yupanqui-Guerra, L. M., Santos-Sanchez-de-las-Matas, L., Gomez-Dominguez, A., Canfield-Medina, H., C (…)2026-10-20
🧠 neurology

Comparative analysis of plasma pTau217, NfL and eight modifiable risk scores for 11-year dementia prediction in the HUNT Study

In the HUNT Study, plasma pTau217 emerged as a strong predictor of 11-year dementia risk, with eight modifiable risk scores providing statistically significant but marginal improvements in discrimination and complementary value for risk stratification, while NfL offered no additional predictive benefit.

Stubs, J., Langballe, E. M., Livingston, G., Anstey, K. J., Deckers, K., Kivimaki, M., Strand, B. H., Sunde, A. L., Zett (…)2026-10-16
🧠 neurology

Prospective validation of an uncertainty-aware machine learning model for secondary progressive multiple sclerosis classification

This study prospectively validates a conformal prediction-enabled random forest model that outperforms the Lorscheider criteria in classifying secondary progressive multiple sclerosis with calibrated uncertainty, demonstrating high sensitivity and supporting its potential for clinical decision support.

Parakkal Sreenivasan, A., Noui, Y., Erngren, I., Spjuth, O., Burman, J., Kultima, K.2026-10-11
🧠 neurology

PD-RISK Index: Piloting an unsupervised toolkit to identify adults with Parkinson disease

This study demonstrates that an unsupervised, home-based screening toolkit consisting of an 11-item questionnaire and an 8-scent smell test effectively identifies adults with Parkinson's disease with high sensitivity (0.98) and specificity (0.83), outperforming a more complex original version.

Li, J., Grimes, K., Saade, J., Lewis, D., Tomlinson, J. J., Frank, A., Ramsay, T., Salmaso, N., Manuel, D., Schlossmache (…)2026-10-08
🧠 neurology

Forecasting Alzheimer's disease progression using non-imaging clinical features and XGBoost

This study demonstrates that a longitudinal XGBoost model utilizing non-imaging clinical features from over 15,000 individuals can accurately predict Alzheimer's disease progression from cognitively normal or mild cognitive impairment states, successfully identifying future decline months before clinical diagnosis with high sensitivity and manageable false alarm rates.

Gautier, A., Zheng, L., Schreurs, B. G.2026-10-07