○ Imaging diagnosis including tumor, abscess, primary intracranial hemorrhage (ICH) or secondary hemorrhage (PH1,PH2) (H1 and H2 were allowed); or symptoms suspicious for sub-arachnoid hemorrhage
○ Culprit lacunar infarct (unless brain imaging demonstrated a relevant lesion > 1.5 cm in size)
○ A stroke in the posterior circulation
○ Minor stroke or rapidly improving neurological symptoms with a high probability of a Transient Ischemic Attack (TIA)
○ Eligibility or treated with IV or IA rtPA or mechanical thrombectomy
○ NIHSS level of consciousness score ≥ 2
○ Stroke in previous 6 months
○ modified Rankin Score > 2 before the stroke
○ Patients undertaking oral anticoagulants or having received heparin within 48 hours, and /or with elevated aPTT or INR
○ Septic embolus
○ Severe cardiac disease
○ Uncontrolled hypertension (systolic >185 mmHg and/or diastolic >110 mmHg)
○ Serious systemic infection
○ Pregnancy
○ Patients with other implanted neural stimulator
○ Orthodontics or non-Hygienic condition/ problems that prevent procedures within the mouth
○ Life expectancy < 1 year from other causes