A recently published randomized clinical trial (NCT03574038) showed that high-definition cathodal direct current stimulation (HD C-tDCS) was safe in patients with acute ischemic stroke (AIS), with signals of beneficial effect upon penumbral salvage. Investigators concluded that the findings warrant testing in larger multicenter trials. Led by Mersedeh Bahr Hosseini, MD, a neurologist at UCLA Health, the first-in-human pilot study included 10 patients, 7 of which were randomized to active treatment and 3 to sham. HD C-tDCS was delivered to the ischemic tissue using 6 individualized montages. These montages were predesigned to cover 6 vascular distribution-specific ischemic fields caused by occlusions of the middle cerebral artery (MCA) trunk, MCA superior division, MCA inferior division, posterior cerebral artery, anterior cerebral artery, and posterior inferior cerebellar artery. Patients included were within 24 hours from AIS onset, had imaging evidence of cortical ischemic, a presenc