Confronting an acute ischemic stroke with malignant middle cerebral artery (MCA) infarction, a severe hemorrhagic intracranial bleed, or the high-stakes recovery period following an emergent decompressive hemicraniectomy abroad represents an intensely fragile, neuro-critical clinical emergency. Every year, international corporate executives, foreign diplomats, maritime engineers, visiting academic researchers, and Non-Resident Indians (NRIs) suffer catastrophic cerebrovascular accidents…