We start by dividing the polynomial \(-2 x^{4} - 12 x^{3} - 4 x^{2} + 15 x + 18\) by \(-2 x^{2} + 4\).
From the division process, we find:
The complete division can be expressed as: \[ \frac{-2 x^{4} - 12 x^{3} - 4 x^{2} + 15 x + 18}{-2 x^{2} + 4} = x^{2} + 6 x + 4 + \frac{2 - 9 x}{-2 x^{2} + 4} \]
Thus, the final result is: \[ \boxed{x^{2} + 6 x + \frac{2 - 9 x}{-2 x^{2} + 4}} \]
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