Stroke remains to be the leading cause of morbidity and mortality all over the world among the aging population. Despite the ultimate developments in vascular neurosurgery and interventional endovascular methods, none have succeeded to be performed widely yet. Decompressive craniectomy is probably one of the basic practices of neurosurgery, which is simple but neglected time to time. It must be considered in all patients suffering from ischemic stroke with findings of mass effect but especially young patients with a non-dominant hemisphere affected. We would like to remind once more the useful and life-saving method by reporting the dramatic benefit of the patient who is also a member of our medical team.