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Neurological Ledger

Meaning

The Neurological Ledger is a conceptual model representing the continuous, cumulative balance of neuroplasticity, cellular repair, and metabolic efficiency within the central nervous system over an individual’s lifetime. It serves as a metaphor for the brain’s ongoing energetic and structural balance sheet. A positive ledger indicates a net gain in cognitive reserve and neuronal resilience, while a negative ledger suggests an accumulated deficit that can predispose the individual to accelerated cognitive aging. Clinical management aims to consistently maintain a favorable ledger balance.