This case report analyses the occurrance of an exceedingly rare and unpredictable complication of remote penetrating chest trauma with arterial injury , which is embolic stroke , leading to a particular combination of hemorrhagic shock hemodynamic profile altering the cerebral autoregulation , with malignant middle cerebral artery stroke in a young patient , causing intracranial hypertension resulting in subfalcine herniation , and compromising the penumbral zone and the chances of survival , and rendering most of the conventional stroke teatments contra indicated or not useful , our purpose is to raise into awareness this type of complication in order to establish efficient salvatory treatments without delay.