eng Science and Education Publishing American Journal of Medical Case Reports ISSN Pending 2014-01-16 2 1 10 11 10.12691/ajmcr-2-1-3 AJMCR2014213 article Shazia Yasir drshazia24@live.com 1 ER Physician (PG), Ziauddin University Hospital Without significant coronary artery stenosis, ischemic ECG changes including ST segment elevation, segmental wall abnormality & elevated serum cardiac specific markers may develop after central nervous system injuries. Misdiagnosing these patients as acute MI may result in catastrophic outcomes. By reporting case of 56 year old male with posterior cranial fossa haemorrhage mimicking ST segment elevation MI, we hope to underline that careful attention to neurological abnormalities is critical in making correct diagnosis. http://pubs.sciepub.com/ajmcr/2/1/3/ajmcr-2-1-3.pdf myocardial infarctionposterior cranial fossa haemorrhage