Background and Purpose-Focal stroke is associated with cell death, abnormal synaptic activity, and neurologic impairments. Given that many of these neuropathologic processes can be attributed to events that occur shortly after injury, it is necessary to understand how stroke affects the structure of neurons in surviving peri-infarct regions, particularly at the level of the dendritic spines, which transmit normal and potentially abnormal and injurious synaptic signaling. Recently, we described ischemia-induced changes in the structure of layer 1 dendritic tufts of transgenic mice expressing YFP in layer 5 cortical neurons. However, these in vivo imaging experiments could not address ischemia-related phenomena that occur in deeper cortical structures/layers, other cortical regions, or submicron changes in dendritic spine structure. Methods-Focal stroke was induced in the forelimb sensorimotor cortex by the photothrombotic method. Two,6,and 24 hours after stroke, brains were processed for Golgi-Cox staining to permit a detailed analysis of primary apical dendritic spine structure from layer 2/3 and 5 cortical pyramidal neurons. Results-Photothrombotic stroke caused a rapid deterioration of neurons, as revealed by Golgi-Cox labeling, in the infarct core that could be readily distinguished from surviving peri-infarct regions. Analysis of Ͼ15 000 dendritic spines revealed that although many spines were lost in the peri-infarct cortex during the first 24 hours after stroke (Ϸ38% lost), spines that remained were significantly longer (Ϸ25% at 6 hours). Furthermore, these effects were found in both layer 2/3 and 5 neurons and were restricted primarily to peri-infarct regions (Ͻ200 m from the infarct border). Key Words: neuronal plasticity Ⅲ penumbra Ⅲ excitotoxicity Ⅲ focal cerebral ischemia Ⅲ mice Ⅲ recovery T he sudden loss of blood flow to the brain (ie, ischemia) causes an immediate loss of cells in the ischemic core that is surrounded by an area of compromised, but potentially salvageable, tissue known as the penumbra, or peri-infarct region. 1 Because of this potential for rejuvenation, investigations have examined the physiologic changes that take place within the peri-infarct region during the first few hours and days after stroke. 2 For example, it is known that ischemia and reperfusion rapidly induce the production of reactive oxygen species, mitochondrial dysfunction, and glutamate release that is followed by repetitive spreading depression-like depolarizations and changes in intra-and extracellular loads of electrolytes (ie, calcium, potassium, zinc). 2-4 These abrupt changes in neuronal excitability and ionic homeostasis during the early stages of stroke could conceivably lead to extensive changes in the structure of peri-infarct neurons that may significantly affect their survival. Indeed, in vitro studies of oxygen/glucose deprivation or in vivo models of global ischemia have described acutely dysmorphic dendritic processes, spine loss, and filopodial formation within minutes of ischemia. [5][6][7] Recent ...