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.

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., Syrbe, S., Schoonjans, A.-S., Hallemans, A., Stamberger, H.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., Bugiardini, E., Munot, P., O'Driscoll, M., Laura, M., Sleigh, J. N., Reilly, M. M., Houl (…)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 Parkinson's Study team,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🧠 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., Alemu, K., Nashiro, K., Cho, C., mercer, N., Choi, P., Lee, H. R. J., Min, J., Rose, N. F., Thayer, J. F., Mather, M.2026-03-04🧠 neurology

Theory-based self-management interventions for stroke survivors: a systematic review and meta-analysis

This systematic review and meta-analysis of 32 studies involving 3,212 stroke survivors found that theory-based self-management interventions, particularly those grounded in self-efficacy theory, significantly improve self-efficacy and self-management behaviors, although the magnitude of the behavioral improvement is uncertain due to high heterogeneity among the diverse theoretical frameworks used.

Meng, G., Chen, Y., Dai, M., Tang, S., Chen, Q.2026-03-02🧠 neurology

Incidence of SSRI treatment and psychiatric specialist care in new-onset adult epilepsy: are newer antiseizure medications associated with more treatment of anxiety/depression?

This study found that while adults with new-onset epilepsy have a consistently higher risk of starting SSRI treatment compared to the general population, the shift toward newer antiseizure medications did not increase this likelihood, revealing a persistent and potentially widening treatment gap for depression, particularly among young adults.

Singh, M., Larsson, D., Zelano, J.2026-02-27🧠 neurology

Minocycline in Acute Traumatic Spinal Cord Injury: A Systematic Review and Exploratory Meta Analysis of Preclinical and Clinical Evidence

This systematic review and exploratory meta-analysis finds that while minocycline demonstrates promising biological activity and safety in acute traumatic spinal cord injury, current clinical evidence does not conclusively support its efficacy in improving neurological or functional outcomes, highlighting the need for further robust randomized controlled trials.

Fahim, F., Faramin Lashkarian, M., Tabasi Kakhki, F., Qahremani, R., Ghaffari, A., Moosavian, S. M., Jafari, M., Ebrahimabad, M., Ghasemi, M., Mahmoodi, H., Bahmaie Kamaei, S., Oveisi, S., Oraee Yazda (…)2026-02-26🧠 neurology

Evaluation of Clinical Outcomes of Riluzole monotherapy and Riluzole based adjunctive interventions in Amyotrophic Lateral Sclerosis: A meta analytic and unsupervised clustering approach

This study employs a meta-analytic and unsupervised clustering approach to evaluate riluzole-based treatments for ALS, finding that while no adjunctive therapy significantly outperforms riluzole monotherapy, certain modulator classes show positive trends and highlighting a critical need for diverse, large-scale international trials due to current geographic research biases.

Rathore, H. S., Brar, J. S., Gupta, S., Dalla, N., Kumar, S., Rathore, H. S., Banerjee, D., Kumar, S.2026-02-26🧠 neurology

Automated transcription in primary progressive aphasia: Accuracy and effects on classification

This study demonstrates that automated speech recognition (specifically Whisper), particularly when combined with quality control, offers a cost-effective and accurate alternative to manual transcription for characterizing linguistic impairments and classifying primary progressive aphasia variants, often outperforming manual methods in classification tasks.

Clarke, N., Morin, B., Bedetti, C., Bogley, R., Pellerin, S., Houze, B., Ramkrishnan, S., Ezzes, Z., Miller, Z., Gorno Tempini, M. L., Vonk, J. M. J., Brambati, S. M.2026-02-26🧠 neurology