الفهرس 
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Abstract
The aim of this work was to clarify the predictors of outcome from decompressive hemicraniectomy following malignant infarction of the middle cerebral artery The study was conducted on 20 patients who underwent hemicraniectomy after malignant middle cerebral artery infarction.• There was a statistically significant difference between age and sex participants with the outcome of patients after surgery (P-value= 0.005 and 0.008 respectively).•There is a statistically significant difference between the alcohol intake and drug abuse with the outcome of patients after surgery, nearly two thirds of the patients with good outcome were not alcohol intakers or drug abusers (P-value= 0.023).• There was a statistically significant difference between the mean Pre-operative GCS and the outcome of patients after surgery, pre-operative GCS was higher in patients with good outcome (P-=value= 0.031). it also showed a statistically significant difference between the mean time from stroke to deterioration of conscious level and the outcome of patients after surgery (P-=value= 0.031).•There was no statistically significant difference between side of infarction, cytotoxic edema, hemorrhagic transformation and the outcome of patients after surgery.•There was a statistically significant difference between post-operative fever and the outcome of patients after surgery with 85% of patients with poor outcome had post-operative fever (P-value= 0.019). There was also a statistically significant difference between post-operative mean arterial BP and the outcome of patients after surgery, patients with higher mean ABP had poor outcome (P-value= 0.033). It also showed a significant relationship between post-operative complications and the outcome of patients after surgery, 66% of patients with good outcome had no complications and 57% of people with chest infection had poor outcome (P-value= 0.032).