This is a randomized open-label, with blinded outcome pilot study to evaluate the effect on inflammatory and brain injury laboratory values and explore clinical outcomes in patients who present with ischemic strokes due to large vessel occlusions and are treated with either current accepted management, or accepted management in addition to transcutaneous auricular vagal nerve stimulation.
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Eligibility Criteria
Inclusion Criteria:
* Adult patients who present with acute ischemic strokes due to large vessel occlusions
Exclusion Criteria:
* \<18 years old
* patients with presumed chronic large vessel occlusions
* NIHSS\<6
* pre-morbid modified Rankin score (mRS) \>2
* unable to initiate treatment under 24…
Inclusion Criteria:
* Adult patients who present with acute ischemic strokes due to large vessel occlusions
Exclusion Criteria:
* \<18 years old
* patients with presumed chronic large vessel occlusions
* NIHSS\<6
* pre-morbid modified Rankin score (mRS) \>2
* unable to initiate treatment under 24 hours from symptom discovery
* Chronic or acute infection, Recent surgery, active immune disease
* life expectancy \<3 months
* patients' undergoing active cancer or immunosuppressive/modulating therapy
* patients with sustained bradycardia on arrival with a heart rate \<50 beats per minute.
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