Hi,
Thank you for posting your query.
There are two issues here-
1. Whether or not we should do surgery for meningioma?
2. The appropriate dose of
dilantin.
Meningioma can only be treated by surgery. There are no medicines to make it disappear. So, if the
tumor is large or is in a critical part of brain or it is growing in size, we should do the surgery for meningioma.
The correct dose of dilantin (
phenytoin) is 5 mg per kg body weight. So, if your weight is about 60 kg, then, you should be on 300 mg per day- either 100 mg three times daily, or 200 mg pm and 100 mg am.
I hope it helps.
Please get back if you require any additional information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/