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🧠 neurology

Slow-SPEED: protocol for three randomised trials of remotely delivered exercise to prevent Parkinsons disease

The Slow-SPEED protocol outlines the design of the world's first non-pharmacological randomized controlled trials investigating the feasibility and efficacy of a remotely delivered, gamified exercise intervention for preventing Parkinson's disease across three distinct prodromal subgroups in the Netherlands, the United Kingdom, and the United States.

Oosterhof, T. H., Mitchell, E., Ascherio, A. + 37 more2026-03-05🧠 neurology

Dietary Factors Affect Brain Iron Accumulation and Parkinson's Disease Risk

This study of over 228,000 individuals reveals that specific dietary factors, particularly alcohol and high-sugar intake, are significantly associated with distinct patterns of brain iron accumulation in motor regions, which in turn correlate with altered risks for Parkinson's disease, challenging prior assumptions about the relationship between central iron levels and disease susceptibility.

Ahern, J., Boyle, M. E., Sugrue, L. + 5 more2026-03-04🧠 neurology

Efficacy and safety of masitinib in amyotrophic lateral sclerosis patients prior to loss of functionality: A subgroup analysis optimizing the benefit-risk profile of masitinib

This post-hoc analysis of the AB10015 study demonstrates that excluding ALS patients with severe baseline functional loss reveals a significantly enhanced and favorable benefit-risk profile for masitinib, yielding greater improvements in functional decline, progression-free survival, and overall survival compared to the original primary analysis.

Ludolph, A. C., Mora, J. S., Vermersch, P. + 3 more2026-03-04🧠 neurology

Daily Paced Breathing Sessions Induce Left Orbitofrontal Volume Changes Linked to Cognitive Outcomes

Nine weeks of paced breathing training in adults aged 50–70 induced volume increases in the left orbitofrontal cortex driven by oscillatory heart rate power, which subsequently correlated with enhanced attentional control and memory performance, suggesting a frequency-general mechanism for improving neurovisceral integration and cognitive resilience in aging.

Yoo, H. J., Kim, A. J., Dahl, M. J. + 10 more2026-03-04🧠 neurology

Distinct Inflammatory Profiles in Angiography-Negative Subarachnoid Hemorrhage: A Focused Case Series

This retrospective study reveals that angiography-negative subarachnoid hemorrhage (anSAH) exhibits an early cerebrospinal fluid cytokine profile and inflammatory signature more similar to intracerebral hemorrhage than to aneurysmal subarachnoid hemorrhage, suggesting that anSAH represents a biologically distinct phenotype.

Remillard, W., Sorensen, G., Grychowski, L. + 12 more2026-03-04🧠 neurology

Decreased Awareness of Cognitive Decline is Associated with Multimodal Alzheimer's Disease Biomarkers in Cognitively Unimpaired Individuals

This study demonstrates that in cognitively unimpaired individuals, a concurrent decline in both episodic memory and awareness of that decline is significantly associated with higher levels of multimodal Alzheimer's disease biomarkers, suggesting that reduced awareness of cognitive impairment may serve as an early indicator of underlying AD pathology.

Lopez-Martos, D., Suarez-Calvet, M., Salvado, G. + 18 more2026-03-04🧠 neurology

Streamlining Eligibility Assessment for Alzheimers Disease-Modifying Therapies: Prediction of MMSE Scores Using the Digital Clock and Recall

This study demonstrates that a machine learning model utilizing multimodal data from the rapid, digital Clock and Recall (DCR) assessment can accurately and equitably predict Mini-Mental State Examination (MMSE) scores, offering a scalable solution to streamline eligibility screening for Alzheimer's disease-modifying therapies while mitigating the educational and cultural biases of traditional testing.

Jannati, A., Toro-Serey, C., Ciesla, M. + 5 more2026-03-04🧠 neurology

Social and Cardiovascular Risk Factors as Predictors of the Progression from Mild Cognitive Impairment to Dementia in a Large EHR Database

This study utilizing a large electronic health record database reveals that both cardiovascular factors (specifically higher systolic blood pressure and lower BMI) and social determinants (including non-English language preference, certain racial/ethnic backgrounds, and widowhood) independently predict a faster progression from mild cognitive impairment to dementia, highlighting the potential of integrating clinical and social data for early risk identification.

Miramontes, S., Ferguson, E. L., Zimmerman, S. + 6 more2026-03-03🧠 neurology

Cardiorespiratory fitness and cerebral blood flow in cognitively normal older adults and individuals with coronary artery disease: the AGUEDA and Heart-Brain projects

This study found that while cardiorespiratory fitness is positively associated with cerebral blood flow in individuals with coronary artery disease, this relationship is not observed in cognitively normal older adults and is largely mediated by body mass index.

Sanchez-Aranda, L., de Geus, K., Solis-Urra, P. + 15 more2026-03-03🧠 neurology

Biofluid Biomarkers of Ischaemic Penumbra in Acute Ischaemic Stroke: A Systematic Review and Meta-Analysis

This systematic review and meta-analysis evaluates blood-based biomarkers for identifying the ischaemic penumbra in acute ischaemic stroke, finding that while several candidates like MR-proADM, IL-10, and NSE show significant associations, substantial heterogeneity and risk of bias currently preclude their clinical implementation pending further rigorous validation.

Kawamura, Y., Liebeskind, D. S., Misra, S. + 12 more2026-03-03🧠 neurology

Real-Time Kinematic Adaptive Deep Brain Stimulation Safely Reduces Gait Impairment and Freezing of Gait in Parkinson's Disease

This study demonstrates that Kinematic adaptive Deep Brain Stimulation (KaDBS), a novel system utilizing wearable inertial sensors to dynamically adjust stimulation based on real-time gait metrics, is safe and significantly reduces freezing of gait and gait impairment in Parkinson's disease patients compared to conventional continuous stimulation.

Karjagi, S., Kehnemouyi, Y. M., Petrucci, M. N. + 14 more2026-03-02🧠 neurology

Spatial distribution of spinal cord fMRI activity with electrocutaneous stimulation

This study demonstrates that spinal cord fMRI, when combined with nerve rootlet-based spatial normalization and optimized stimulation parameters, can reliably map the rostrocaudal distribution of sensory-evoked activity to specific spinal segments in humans, thereby overcoming previous localization uncertainties and supporting future translational research.

Bedard, S., Kaptan, M., Indriolo, T. + 11 more2026-03-02🧠 neurology