Detection of markers for neurodegenerative disorders (NDDs) within brain tissue of Alzheimer’s disease (AD) or Parkinson’s disease (PD) patients has always been hampered by our inability to access tissue from living human subjects and obtain biopsy samples of key regions implicated in disease occurrence and progression. Currently, diagnosis of NDDs is principally based on clinical observation of symptoms that present at later stages of disease progression, followed by additional neuroimaging and, possibly, CSF evaluation. A way to potentially detect and diagnose NDDs at a far earlier stage is to screen for abnormal levels of specific disease markers within the peripheral circulation of patients with NDDs. Increasing evidence suggests that there is dysregulation of microRNAs (miRNAs) in NDDs. Peripheral blood mononuclear cells as well as biofluids, such as plasma, serum, urine and cerebrospinal fluid, contain miRNAs that can be identified and quantified. This opens the potential for circulating levels of miRNAs within blood or other biofluids to be characterized and used as a non-invasive diagnostic biomarker screen to support early disease detection and possible disease progression monitoring of NDDs such as AD and PD. Plainly, such a potential screen is only possible with a clear understanding of which miRNAs change with disease, and when this occurs during the progression of AD and PD. Such information is becoming increasingly available and in the near future may not only support disease diagnosis but provide the opportunity to evaluate therapeutic interventions earlier in the disease process where their targets may be more relevant to delay AD or PD progression.