OBJECTIVE: Our aim was to present the acute stroke cases carried out decompression surgery and to discuss our results with literature. MATERIAL and METHODS: Decompression surgery was carried out in 8 patients including 4 women and 4 men who followed and clinically progressed despite the medical treatment within 1-11 days in Dokuz Eylül University Hospital Neurology Clinic between August 2010 and February 2012. Extensive hemicraniectomy+duraplasty were performed in 6 patients and suboccipital craniectomy was performed in 2 patients. RESULTS: One patient with middle cerebral artery infarction died because of widespread posterior system infarction and additionally one patient died due to infection following operation. In remaining patients followed for 35 to 95 days postoperatively, mRS was change 2 points in 2 patients, 4 points in 2 patients, 3 points in 1 patient and 5 points in 1 patient. CONCLUSION: Although sample size was limited, our results were showed that surgical treatment reduces mortality and helps to provide the functional recovery in some patients.