This report details the presence of hyperammonemia in a patient who sustained cardiac arrest after a traumatic amputation. Serum ammonia levels may rise due to numerous etiologies; however, few reports detail its usefulness in diagnosing subclinical seizures. In this case, we successfully utilized persistently elevated serum ammonia levels as a marker of subclinical seizures in a patient who sustained traumatic cardiac arrest.

A 53 years Male patient diagnosed with Chronic Kidney Disease (CKD) and uncontrolled Hypertension (HTN) on three anti-hypertensive agents attended the OPD of CARIHD. The patient was kept initially on oral Ayurvedic treatment for 8 days. Then he was subjected to Panchakarma procedures. During Panchakarma therapy, it was found that the baseline blood pressure (200/110 mmHg) came down to 160/100 mmHg after Abhyanga and Swedana and subsequently to 150/90 mmHg after Virechana therapy and further reduced to 130/80 mmHg after the administration of Matravasti. The patient was discharged after 18 days of treatment with advice to continue allopathic medication as advised and monitor BP regularly. The patient was monitored for another 180 days and found normal blood pressure with a reduction in serum creatinine levels. After analyzing the results, it is concluded that this procedure can be useful in resistant hypertension and in stabilizing and maintaining the blood pressure in a long run. Further study is recommended.