I am a US-IMG (Caribbean) that just matched in my top 3 for neurology residency. My steps were mid 220s, 1st time pass. I applied to around 85 places across the country and got around 14 interview offers. I think it will be key for you to get some good contacts on your neuro rotation and get good letters. This is probably where I struggled as time was an issue with my rotation scheduling. I had a little research and one non-neuro related publication but it didn't really come up during the interviews. Please feel free to PM me if you have any questions and good luck!