Dilantin (Phenytoin)
Tuesday, November 3rd, 2009| Online Pharmacy: | Minimal Price: | Best Buy: | Shipping: | Payment | Delivery to: |
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| medixresources "Dilantin" | 100 mg | 14/free |      | most countries | |
| 60 pills $45.9 | 90 pills $52.9 | ||||
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| tl-pharmacy "Generic Dilantin" | 100mg | 10-21 days/free |    | every country | |
| 100 pills €82.28 | 400 pills €213.68 | ||||
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| medrx-one "Generic Dilantin" | 100mg | 10 days/free | | most countries | |
| 30 pills $10 | 360 pills $282.95 | ||||
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| leadmedic "Dilantin" | 100 mg | 14-21days/$10
5-7 days/$25 | | every country | |
| 60 pills $59.6 | 90 pills $68.69 | ||||
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| Medph | Not available for sale | FedEx next day/$24 |  | USA only | |
| med-pen "Dilantin" | 100mg | 14-20 days/$10
7-14 days/$20 |   | most countries | |
| 90 Tabs $27 | 180 Tabs $38.87 | ||||
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| ourpharmacyrx "Dilantin" | 100 mg | 14-21 days/$15
5-12 days/$30 | | most countries | |
| 30 pills $12.9 | 90 pills $28.8 | ||||
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| RxPharms | Not available for sale | 14-24 days/free | | worldwide | |
| RxMedShop | Not available for sale | 8-16 days/$20
5-9 days/$30 3-6 days/$40 | | most countries | |
Other names: Phenytek Er
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TYPES OF EPOLEPTIC SEIZURE: SIMPLE PARTIAL (OR FOCAL) SEIZURES
Partial seizures are always caused by damage to some part of the brain, and always begin in that area of the brain, though they may later spread. If you have partial seizures you will nearly always have some kind of ‘aura’, a feeling or sensation that you will come to recognize at the beginning of your seizure and that acts as a warning to you that the seizure has begun. The aura is caused by the start and early spread of the electrical discharge within the brain.
The characteristics of the aura will depend on the part of the brain involved. That is why when your doctor is making the diagnosis he or she will want to know in as much detail as possible the feelings or symptoms you experience at the start of the seizure. If your seizure starts in the motor cortex (the part of the brain that controls movement), your aura will probably consist of a movement of part of the body, usually a thumb or the face, perhaps an arm, hand or foot.
A common form of motor epilepsy is Jacksonian epilepsy, named after the English neurologist Hughlings Jackson, who lived at the turn of the century. His wife had motor seizures and so Professor Jackson had plenty of opportunity to study them. The seizures often start in the face region of the cortex and then the abnormal activity spreads out along the motor area progressively involving different areas of the body. It spreads from the face area to the thumb and hand and then through the arm down into the rest of the body. This spread is often called a ‘march’. Some people may have weakness in the affected limb after a motor seizure for a number of hours, or even occasionally days. This weakness is called a Todd’s paralysis, after the Dr Todd whose statue can be seen in the forecourt of Kings College Hospital in South London.
A partial seizure which arises in the sensory cortex (the part of the brain concerned with sensation) will produce an aura which may be a definite feeling such as itching or tingling, or some sensation that is quite indescribable, though instantly recognizable to you. Auras that take the form of simple flashes or speckles of light arise in the occipital cortex.
Sometimes a partial seizure is minor and very brief, and consists only of the aura. On other occasions, if the seizure spreads further throughout the brain, it may cause longer and more disturbance, perhaps being followed by transient weakness of a limb (Todd’s paralysis, see above) or a temporary inability to find words (dysphasia). But usually there is no loss of consciousness during the seizure.
Complex Partial Seizures
Complex partial seizures, like simple partial seizures, always begin with an aura but, unlike simple partial seizures, they always produce some disturbance of consciousness. Many complex partial seizures originate in the temporal lobe of the brain, the part of the brain that is involved in emotions, feelings and memory.
Seizures that start in the temporal lobe often begin with a feeling arising in the stomach and moving up to the throat, called an epigastric aura. This is usually accompanied by a sensation of fear which can be so intense that the person fears they are going to die. Less often there may be an aura of taste or smell, usually unpleasant, or of some simple sound such as hummings or clicks. There may be feelings of deja vu, that is, an intense feeling of recognition or a feeling that you know what is going to happen. Some people describe it as a feeling of reincarnation. There may even be a sensation that the world is quite unrecognizable (jamais vu). Memories may be triggered off as part of the aura and, very rarely, intensely pleasant mystical, or even sexual feelings can arise.
EpilepsySometimes a partial seizure may spread so rapidly through a wide area of the brain that it becomes generalized and there is a tonic clonic convulsion. This is called a secondarily generalized seizure.
People who have simple partial or complex partial seizures have one great advantage over those with generalized tonic clonic (grand mal) seizures; because of the warning aura they know that a seizure is beginning. So they have time to manoeuvre themselves out of danger Ђ” maybe sit down somewhere safe, or put down anything hot or breakable that they are carrying. Many people even manage to develop various techniques to abort their seizures at this stage so that they do not spread any further, and there is no loss of consciousness.
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