Microstructural white matter disruptions and their clinical correlates in Wilson disease: A neurite orientation dispersion and density imaging study

This study utilizes neurite orientation dispersion and density imaging (NODDI) to reveal phenotype-specific white matter microstructural disruptions in Wilson disease, characterized by reduced axonal density and fiber organization in neurological cases and excess free water in hepatic cases, which correlate with specific neurological and cognitive impairments.

Hausmann, A. C., Querbach, S. K., Rubbert, C. + 3 more2026-03-30🧠 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. + 10 more2026-03-30🧠 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. + 1 more2026-03-30🧠 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. + 21 more2026-03-28🧠 neurology

Course and severity of post-H1N1 narcolepsy type 1: a long-term prospective cohort study

This long-term prospective study of 130 post-H1N1 narcolepsy type 1 patients reveals that while baseline phenotype severity is the strongest predictor of long-term outcomes, individuals associated with Pandemrix vaccination initially present with more severe symptoms but demonstrate greater long-term improvement compared to unvaccinated cases.

Langdalen, K., Follin, L. F., Viste, R. + 9 more2026-03-27🧠 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. + 4 more2026-03-27🧠 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

Plasma pTau217 as a Prognostic, Monitoring, and Risk-Stratification Biomarker of Clinical Progression in Lewy Body Disease

This study demonstrates that plasma pTau217 serves as a robust prognostic, monitoring, and risk-stratification biomarker in Lewy body disease, where higher baseline levels and faster longitudinal increases predict accelerated cognitive and functional decline as well as a three-fold increased risk of progression to MCI or dementia.

Lorkiewicz, S. A., Abdelnour, C., Bolen, M. L. + 15 more2026-03-27🧠 neurology

MRI-Perivascular Spaces in Chronic and Episodic Migraine Disorder

This retrospective study of 90 participants reveals that, contrary to the initial hypothesis linking migraine frequency to increased perivascular space (PVS) burden, migraineurs actually exhibited significantly lower PVS volumes and cluster counts compared to healthy controls, with the most pronounced reductions observed in individuals with aura, suggesting that aura rather than the disorder itself drives these glymphatic system alterations.

Pham, W., Rim, D., Jarema, A. + 7 more2026-03-26🧠 neurology

Pathology and genetics in a global cohort of Parkinsonian Disorders

This multicenter retrospective study of 3,353 brain donors across 11 global brain banks reveals that misdiagnosis rates for parkinsonian disorders range from 10% to 20%, with significant associations found between specific genetic variants (GBA1, LRRK2), ancestry (South Asian and Ashkenazi Jewish), and distinct pathological burdens, underscoring the critical need for biologically informed diagnostic tools and genetically stratified approaches in future therapeutic trials.

Wu, L. Y., du Toit, T., Georgiades, T. + 38 more2026-03-26🧠 neurology

Altered Saccades, Pupil, and Blink Responses in Functional Motor Disorder: Insight into Neurobiological Mechanisms

This study demonstrates that patients with Functional Motor Disorder exhibit distinct oculomotor abnormalities, including increased saccade errors, altered blink patterns, and reduced pupil dilation velocity, which are linked to symptom severity and support neurobiological models involving altered predictive and attentional processing in the frontal cortex and basal ganglia.

Sutorova, K., Riek, H. C., Pitigoi, I. C. + 6 more2026-03-26🧠 neurology

Neutrophil-to-Lymphocyte Ratio Predicts Infusion-Site Skin Nodules in Parkinson Disease Patients Receiving Foslevodopa/Foscarbidopa Subcutaneous Infusion

This study demonstrates that a higher baseline neutrophil-to-lymphocyte ratio (NLR) serves as a predictive biomarker for the development and persistence of infusion-site skin nodules in Parkinson's disease patients receiving foslevodopa/foscarbidopa subcutaneous infusion, while multidisciplinary surveillance effectively mitigates treatment discontinuation despite these adverse events.

Contaldi, E., Magistrelli, L., Piazza, S. + 6 more2026-03-26🧠 neurology