Protracted elevation in intracellular calcium caused by the activation of the N-methyl-D-aspartate receptor is the main cause of glutamate excitotoxic injury in stroke. However, upon excitotoxic injury, despite the presence of calcium entry antagonists, calcium unexpectedly continues to enter the neuron, causing extended neuronal depolarization and culminating in neuronal death. This phenomenon is known as the calcium paradox of neuronal death in stroke, and it represents a major problem in developing effective therapies for the treatment of stroke. To investigate this calcium paradox and to determine the source of this unexpected calcium entry after neuronal injury, we evaluated whether glutamate excitotoxicity activates an injury-induced calcium-permeable channel responsible for conducting a calcium current that underlies neuronal death. We used a combination of whole-cell and single-channel patchclamp recordings, fluorescent calcium imaging, and neuronal cell death assays in a well characterized primary hippocampal neuronal culture model of glutamate excitotoxicity/stroke. Here, we report activation of a novel calcium-permeable channel upon excitotoxic glutamate injury that carries calcium current even in the presence of calcium entry inhibitors. Blocking this injury-induced calcium-permeable channel for a significant time period after the initial injury is still effective in preventing calcium entry, extended neuronal depolarization, and delayed neuronal death, thereby accounting for the calcium paradox. This injury-induced calcium-permeable channel represents a major source for the initial calcium entry following stroke, and it offers a new target for extending the therapeutic window for preventing neuronal death after the initial excitotoxic (stroke) injury.Stroke is a leading cause of disability and death, yet its successful treatment is limited (Bonita et al., 2004). Glutamate is the predominant excitatory neurotransmitter in the mammalian central nervous system, and it is required for neural development, synaptogenesis, and alterations in synaptic plasticity (Dingledine et al., 1999). In excessive quantities, glutamate is thought to cause the neuronal damage observed following stroke, epilepsy, and traumatic brain injury (Siesjö and Bengtsson, 1989;Delorenzo et al., 2005). Protracted elevation in intracellular calcium [Ca 2ϩ ] i caused by the activation of the N-methyl-D-aspartate (NMDA) subtype of glutamate receptors is the main cause of excitotoxic injury in stroke (Choi, 1995;Lipton, 1999). Excitotoxic glutamate exposure causes two major, long-lasting changes in neuronal physiology. Our laboratory and others have demonstrated that glutamate exposure results in a prolonged dis-