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

Analysis of Alzheimer's Disease--Related Alterations in EEG Dynamics Using Integrated Instantaneous Frequency--Amplitude Microstates

This study demonstrates that integrating instantaneous frequency and amplitude into EEG microstate analysis reveals distinct alterations in brain state prevalence and network organization in Alzheimer's disease patients compared to healthy controls, offering a complementary approach to characterizing neurodegenerative dysfunction.

Nobukawa, S., Ikeda, T., Kikuchi, M., Takahashi, T.2026-03-10
🧠 neurology

Chronic adaptive versus conventional DBS response patterns in Parkinson's disease: A pilot randomized crossover trial

In a pilot randomized crossover trial involving nine Parkinson's disease patients, chronic adaptive and conventional deep brain stimulation demonstrated comparable population-level efficacy, though exploratory analyses suggest that individual baseline disease characteristics may influence specific treatment advantages, highlighting the need for larger studies to identify optimal patient subgroups.

Tanimura, J., Yako, T., Hashimoto, T.2026-03-09
🧠 neurology

An Implantable Device that Converses with Patients and Learns to Co-Manage Epilepsy

This paper presents and validates a novel implantable device platform that utilizes secure large language models to enable bidirectional, real-time conversation between patients and an AI agent, allowing the system to co-manage epilepsy by detecting biomarkers, personalizing interactions, and rapidly adapting seizure detection algorithms without extensive expert intervention.

Goldblum, Z., Shi, H., Xu, Z., Ojemann, W. K. S., Aguila, C. A., Long, K., Xie, K., Nix, K. C., Walsh, K., Chang, E., La (…)2026-03-09
🧠 neurology

Automated Segmentation of Post-Surgical Resection Cavities on MRI in Focal Epilepsy: a MELD Study

This study introduces MELD-PostOp, a deep learning tool trained on a large, multi-center cohort that achieves accurate, generalizable, and rapid (17-second) automated segmentation of post-surgical resection cavities on MRI, significantly outperforming existing methods in both accuracy and efficiency.

Seo, J., Ripart, M., Kaas, H., Sinclair, B., Vivash, L., Courtney, M. R., O'Brien, T. J., Gopinath, S., Parasuram, H., K (…)2026-03-09
🧠 neurology

Individual-specific resting-state networks predict language dominance in drug-resistant epilepsy

This study demonstrates that a multi-session hierarchical Bayesian model (MS-HBM) can reliably map individual-specific resting-state networks in drug-resistant epilepsy patients using short fMRI sessions, enabling accurate prediction of task-based language dominance for presurgical planning.

Lim, M. J. R., Zhang, S., Pande, S., Xue, A., Kong, R., Zaghloul, K. A., Inati, S., Yeo, B. T. T.2026-03-07
🧠 neurology

Assessing and quantifying gait deviations in STXBP1-related disorder using three-dimensional gait analysis.

This study utilizes three-dimensional gait analysis to characterize the heterogeneous gait deviations in STXBP1-related disorder, identifying externally rotated foot progression as the most common pattern and demonstrating that the age of independent walking onset predicts future community mobility while validating observational scoring as a practical alternative to instrumental analysis.

Swinnen, M., Gys, L., Thalwitzer, K., Deporte, A., Van Gorp, C., Vermeer, E., Salami, F., Weckhuysen, S., Wolf, S. I., S (…)2026-03-07
🧠 neurology

Targeted Long-Read sequencing provides functional validation of variants predicted to alter splicing

This study demonstrates that targeted long-read RNA sequencing (Amp-LRS) is a sensitive, cost-effective, and versatile method for functionally validating non-coding variants predicted to alter splicing in rare neurological disorders, successfully confirming pathogenic mechanisms in all five tested patients using accessible tissues.

Quartesan, I., Manini, A., Parolin Schnekenberg, R., Facchini, S., Curro, R., Ghia, A., Bertini, A., Polke, J., Bugiardi (…)2026-03-06
🧠 neurology

Clinical and genetic predictors of dementia in Parkinson's disease

This prospective longitudinal study of 450 Parkinson's disease patients demonstrates that poor visual function, particularly when combined with specific genetic risk factors such as GBA1 variants and polygenic risk scores for Parkinson's and Alzheimer's diseases, significantly predicts progression to cognitive impairment, offering a strategy to enrich clinical trials for more efficient dementia intervention studies.

Solomons, M. R., Hannaway, N., Fox, O., Constantini, A., Real, R., Zarkali, A., Morris, H. R., Weil, R. S., Vision in Pa (…)2026-03-06
🧠 neurology

Data-Driven Multimodal Subtyping Reveals Differential Cognitive Risk and Treatment Effects in the All of Us Cohort

This study utilized a Bayesian multimodal subtyping framework on over 121,000 cognitively unimpaired adults to identify four distinct risk profiles, revealing that those with cardiometabolic-depressive multimorbidity face the highest risk of developing mild cognitive impairment and derive the greatest protective benefit from antihypertensive and specific antidiabetic treatments.

Zhao, Y., Marder, K., Wang, Y.2026-03-05