Moreover, TBI increases the risk of neurodegenerative diseases, such as Alzheimer's or Parkinson's disease. [2] To date, all clinical trials aimed to establish new pharmacological treatment for TBI have failed and thus no efficient therapeutic options exist to protect the brain from additional damage following a traumatic event. [3] A major hurdle for the development of novel pharmacotherapies for the treatment of central nervous system (CNS) disorders, including TBI, is the bloodbrain barrier (BBB). The BBB bars many drugs from entering and accumulating in the brain parenchyma, therefore, BBBpermeable drug formulations often have to be applied in such high concentrations that the risk for adverse reactions is disproportionally elevated. [4,5] Therefore, there is an urgent need for the development of drug delivery systems that transport therapeutic molecules across the BBB and help to treat brain injuries.Many studies have shown the accumulation of nanoscale drug carriers in the CNS after TBI [6,7] or the central effects of their cargoes. [8,9] For instance, we have previously demonstrated The current lack of understanding about how nanocarriers cross the bloodbrain barrier (BBB) in the healthy and injured brain is hindering the clinical translation of nanoscale brain-targeted drug-delivery systems. Here, the bio-distribution of lipid nano-emulsion droplets (LNDs) of two sizes (30 and 80 nm) in the mouse brain after traumatic brain injury (TBI) is investigated. The highly fluorescent LNDs are prepared by loading them with octadecyl rhodamine B and a bulky hydrophobic counter-ion, tetraphenylborate. Using in vivo two-photon and confocal imaging, the circulation kinetics and bio-distribution of LNDs in the healthy and injured mouse brain are studied. It is found that after TBI, LNDs of both sizes accumulate at vascular occlusions, where specifically 30 nm LNDs extravasate into the brain parenchyma and reach neurons. The vascular occlusions are not associated with bleedings, but instead are surrounded by processes of activated microglia, suggesting a specific opening of the BBB. Finally, correlative light-electron microscopy reveals 30 nm LNDs in endothelial vesicles, while 80 nm particles remain in the vessel lumen, indicating size-selective vesicular transport across the BBB via vascular occlusions. The data suggest that microvascular occlusions serve as "gates" for the transport of nanocarriers across the BBB.