Impact of Glucose Trajectories on Outcomes After Intracerebral Hemorrhage: The ATACH-2 trial

This secondary analysis of the ATACH-2 trial demonstrates that early post-ICH hyperglycemia is significantly associated with poor functional outcomes, while late and persistent hyperglycemia are linked to worse survival rates, highlighting the prognostic value of continuous glucose monitoring and trajectory-based glycemic control strategies.

Fayed, M., Saini, N., Edwards, S. + 7 more2026-03-18🧠 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. + 5 more2026-03-18🧠 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. + 3 more2026-03-18🧠 neurology

Unraveling temporal dynamics of the post-mortem transcriptome in amyotrophic lateral sclerosis

By applying SuStaIn modeling to post-mortem spinal cord transcriptomics, this study deciphers the temporal dynamics of amyotrophic lateral sclerosis (ALS) to identify two distinct molecular subtypes with unique progression trajectories and therapeutic vulnerabilities, thereby establishing a framework to overcome the limitations of cross-sectional data in neurodegenerative research.

Shen, T., Spencer, B. E., Kuksa, P. P. + 4 more2026-03-17🧠 neurology

Integrated Neuronal Injury and Dysregulated Wnt Signaling Are Associated with Chronic Fatigue Syndrome and Psychiatric Symptoms in Parkinson's Disease

This study demonstrates that a serum panel combining neuronal injury markers, Wnt signaling dysregulators, and amyloid pathology effectively diagnoses Parkinson's disease and predicts the severity of its motor, psychiatric, and chronic fatigue symptoms, suggesting these pathways as potential therapeutic targets.

Al-Naqeeb, T. H., Al-Hakeim, H., Zhang, Y. + 1 more2026-03-17🧠 neurology

Automated Detection and Quantification of Hemorrhagic Transformation After Endovascular Thrombectomy

This multicenter study demonstrates that an AI-based algorithm accurately detects and quantifies hemorrhagic transformation across multiple imaging modalities following endovascular thrombectomy, showing high sensitivity and a strong dose-response correlation with 3-month functional outcomes that surpasses traditional categorical grading.

Ryu, W.-S., Sunwoo, L., Lee, M. + 36 more2026-03-17🧠 neurology

AutoML-Multiverse: An Instability-Aware Framework for Quantifying Analytic Variability in Alzheimer's Disease Machine-Learning Studies

The paper introduces AutoML-Multiverse, an instability-aware framework that systematically quantifies analytic variability by evaluating approximately 20,000 machine learning pipelines across diverse Alzheimer's disease cohorts, demonstrating that accounting for analytic choices significantly improves model robustness and reveals critical limitations in the generalizability of single-cohort studies.

Kohli, M., Castro Leal, G., Wyllie, D. + 4 more2026-03-16🧠 neurology

Limb state accounts for differences between motor imagery and action in motor cortex

This study demonstrates that motor imagery engages distinct motor cortical representations compared to both active and passive movements due to differences in limb state and proprioceptive feedback, indicating that decoders trained on one condition do not generalize to the others and highlighting the need for tailored designs in brain-computer interface applications.

Johnson, S. N., Rybar, M., Greenspon, C. M. + 4 more2026-03-16🧠 neurology

Titanium Mesh Versus Polyetheretherketone (PEEK) in Cranioplasty: A Systematic Review and Meta-Analysis of Complications and Clinical Outcomes

This systematic review and meta-analysis comparing titanium and PEEK cranioplasty materials concludes that while titanium offers superior operative efficiency and a lower risk of postoperative infection, PEEK demonstrates lower exposure rates, suggesting that implant selection should be tailored to individual patient factors and surgical expertise.

Fahim, F., Farajzadeh, M., MahyapourLori, M. + 8 more2026-03-13🧠 neurology

Evaluation of PainWaive: A consumer-grade EEG headset for remotely delivered neu-rofeedback and monitoring in chronic pain

This study validates the PainWaive, a consumer-grade 2-channel EEG headset, as a reliable tool for remote neurofeedback and chronic pain monitoring by demonstrating its strong agreement with research-grade equipment across various frequency bands and its stability in real-world home-based clinical applications.

Chowdhury, N. S., Rawsthorne, J., Hesam-Shariati, N. + 11 more2026-03-13🧠 neurology

Evaluating Metformin Efficacy in ALS Using Real-World Data: A Causal Inference Approach

Using real-world data from the ALS Natural History Study and a causal inference framework that accounts for selection bias and loss to follow-up, this study confirms the prognostic impact of baseline function on survival while finding no statistically significant evidence that sex or metformin use influences survival outcomes in ALS patients.

Geller, J. A., Berger, A., Locatelli, M. + 17 more2026-03-13🧠 neurology

Effectiveness of a digital health application (levidex) on quality of life in people with multiple sclerosis: A pragmatic, randomized controlled trial (LAMONT)

In a pragmatic randomized controlled trial involving 470 people with multiple sclerosis and impaired quality of life, the digital therapeutic levidex, when added to standard care, significantly improved disease-specific quality of life, depressive symptoms, and social functioning compared to standard care alone.

Meyer, B., Nelles, G., Betz, L. + 6 more2026-03-13🧠 neurology

Single-cell multi-omic profiling allows the dissection of peripheral immune phenotypes in Alzheimers Disease progression

By employing high-resolution single-cell multi-omic profiling in over 100 patients, this study reveals that Alzheimer's Disease progression is characterized by distinct peripheral immune dysregulations, including impaired B cell activation and NF-kB/AP-1-driven monocyte inflammation, which differentiate the disease trajectory from healthy aging.

Spintge, J. B., Mai, K., Carraro, C. + 43 more2026-03-13🧠 neurology

Vascular brain injury modifies the relationship between sleep duration, cognition, and white matter hyperintensity burden in the Alzheimer's disease continuum

This study demonstrates that additional vascular brain injury significantly modifies the relationships between sleep duration, white matter hyperintensity burden, and cognition across the Alzheimer's disease continuum, underscoring the need to consider comorbid cerebrovascular pathology beyond white matter hyperintensities alone.

Lahlou, S., Ismail, Z., Smith, E. E. + 2 more2026-03-13🧠 neurology