Medical Affiliations:

Manila Doctors Hospital

Cardinal Santos Medical Center

Chinese General Hospital

winnielimkhoo@gmail.com

+63 (998) 5500497

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© 2015 by Winnie Lim Khoo MD. Proudly Philippine Made

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A stroke is a sudden interruption in the blood supply of the brain. Most strokes are caused by an abrupt blockage of arteries leading to the brain. Because stroke occurs rapidly and requires immediate treatment, stroke is also called a brain attack. The effects of a stroke depend on which part of the brain is injured, and how severely it is injured. Strokes may cause sudden weakness, loss of sensation, or difficulty with speaking, seeing, or walking. Since different parts of the brain control different areas and functions, it is usually the area immediately surrounding the stroke that is affected.

Stroke prevention starts with knowing your risk. A person may modify their lifestyle in order to change or treat some risk factors that one may have, but there will always be factors that we can not change. 

Lifestyle risk factory that you may change:

1. High blood pressure- This is the single most important risk factor for stroke because it’s the leading cause of stroke. Kno...

A brain aneurysm is a bulging area in an artery in the brain. Its walls may be weak and thin and is prone to rupturing. In other words when blood passes through the weakened blood vessel, the blood pressure causes a small area to bulge outwards like a balloon.

Ruptured brain aneurysm usually cause bleeding into the space around the brain. Here are some of the common signs and symptoms: 

  • Severe headache

  • Nausea

  • Stiff neck

  • Blurred vision

  • Sensitivity to light

  • Seizure

  • Vomiting

  • Drooping eyelid

  • Pain above and behind the eye

  • Loss of consciousness

  • Confusion

  • Weakness and/or numbness

If a brain aneurysm is detected before it ruptures, treatment may be recommended to prevent it rupturing in future. Factors that affect whether treatment is recommended include your age, the size and position of the aneurysm, your family medical history, and any other health conditions you have.  If treatment is recommended, this usually involv...

Neuropathic pain (Nerve Pain) is caused by damage or injury to the nerves that transfer information between the brain and spinal cord from the skin, muscles and other parts of the body.

The pain is usually described as a burning sensation and affected areas are often sensitive to the touch. Symptoms of neuropathic pain may also include excruciating pain, pins and needles, difficulty correctly sensing temperatures and numbness. Some people may find it hard to wear thick clothes as even slight pressure can aggravate the pain.

Common causes of neuropathic pain include nerve pressure or nerve damage after surgery or trauma, viral infections, cancer, vascular malformations, alcoholism, neurological conditions such as multiple sclerosis and metabolic conditions such as diabetes. It may also be a side effect of certain medications. Occasionally no identifiable cause is found which can be distressing for the individual experiencing the pain.

Chronic neuropathic pain is common and may be related t...

Headache disorders is one of the the most common disorders of the nervous system. Primary headache disorders, such as migraine, tension-type headache, cluster headache, and the so-called chronic daily headache syndrome, can cause substantial levels of disability. Headache can also occur as a symptom of a considerable number of other conditions

A patient with depression often presents a wide variety of complaints that can be categorized as physical & emotional. The physical complaints include chronic pain and headaches; sleep disturbances; severe insomnia and early awakening; appetite changes; anorexia and rapid weight loss; and a decrease in sexual activity, ranging at times to impotence in males and frigidity in females. Emotional complaints include feeling “blue,” anxiety, and rumination over the past, present, and future.  A headache secondary to depression is usually considered a tension-type headache.

The physical complaints dominate the situation so that the underlying de...

Based on studies conducted by The Brain & Spine Foundation of London. Here are several facts gathered: “Dizziness” is a general term to explain the feeling we have when there is something wrong with our sense of balance. Many people who experience dizziness find it difficult to explain exactly how it makes them feel. For example, some people who feel dizzy, light-headed, giddy or off-balance describe the feeling as if they, or their surroundings, are spinning around. Doctors use the term vertigo to describe this spinning, revolving form of dizziness.

Dizziness & Vertigo are not diseases in themselves. They are symptoms of a distinct condition or cause. There are many different conditions that can cause dizziness. Most cases of dizziness and vertigo are caused by problems with the balance systems located in the inner ear. The widely-held belief that our sense of balance comes from the inner ear is largely true.  

Dizziness can often be short-lived, and can ease on its own accord. For shor...

Cognition is defined as the mental action or process of acquiring knowledge and understanding through thought, experience, and the senses. If your cognition is affected after a stroke, then you could find it difficult to concentrate or remember certain things. 

We store all kinds of information in our memory. We also remember things for different lengths of time, which is why we have a short-term and a long-term memory. Your short-term memory is like a temporary storehouse for information. It allows you to remember things just long enough for you to use them. When you read a telephone number, for example, you use your short term memory to remember it for the few seconds it takes you to dial. Some people also call this your working memory. If you need to remember something for longer than this, it moves to your long-term memory. 

Many people have problems with their memory after a stroke, especially in the first weeks and months. However, they may not always be down to a problem...

Migraines are very common. According to studies, almost 20% of the population have at least one migraine attack every month. Half these attacks interfere with your daily life. It is one of the most common neurological disorders in the country today. 

One proven way to treat / prevent migraine attacks is medication. Unfortunately medication is just part of the treatment; it is very important to know and understand migraine attacks a person. 

Here are a few practical ways on how to prevent migraine from attacking:

1.  Maintain a regular sleeping pattern

2.  Turn off or dim the lights during your sleep

3.  Avoid skipping meals

4.  Avoid food that triggers your migraine

5.  Lessen the brightness level of your mobile phones

6.  Drink a moderate amount of caffeinated beverage 

7.  Regular exercise

8.  Take a well balanced diet

9.  Manage stress in your life

10. Maintain a migraine diary

If your migraine is connected to seizures, weight loss, fever, eye or ear problem, sudden blackouts or worsen...

Cervical Fracture is also commonly called "Broken Neck". It is made up of 7 connected bones called vertebrae. The vertebrae are connected to each other above and below through strong discs and joints on either side called facet joints. Your discs protect your spine by acting like shock absorbers to distribute weight evenly through your neck. The facet joints on the other hand not only control but allow the movement of your neck. 


Due to the durable nature of your cervical spine a substantial force is needed to cause a cervical fracture. In most instances cervical fractures are the result of car accidents or severe falls where there is a direct blow or impact to the head and neck. These types of fractures are commonly seen in the elderly as often their bones are weakened by osteoporosis. There is normally an immediate onset of extreme pain after the injury occurs and will be accompanied by swelling and bruising at the back of the neck. 


The doctor will most likely prescribe an...

The spinal cord enables communication between the brain and the rest of the body. It contains nerve cells, called neurons, and bundles of nerve fibres, or axons, that carry signals to and from the brain. All the information needed to initiate and control movement travels down the spinal cord from the brain to the muscles of the body. The majority of spinal cord injuries are due to preventable causes such as falls, road traffic accidents or sports injury.

A spinal cord injury (SCI) damages the communication pathway between the brain and certain parts of the body. Depending on the extent of the damage and its location in the cord, serious and permanent physical consequences will result in varying degrees of severity. Limbs or organs will not function as they did before. When the spinal column is damaged, for example by fracture or dislocation, the bony vertebrae can compress or bruise the fragile spinal cord. Although the initial injury leads to severed axons and the death or damage of ma...

What is a stroke?

Stroke is a medical condition in which a blood stops flowing to any part of the brain which leads to cell damage. When blood supply to the brain is interrupted it may lead to brain damage or possibly death.

What is causing a stroke?

There are several factors that may lead to a stroke. Here are a few of the items: smoking, excessive alcohol intake, poor diet, lack of exercise, Other medical conditions may also affect namely : high blood pressure, high cholesterol, atrial fibrillation, irregular heartbeat & diabetes.

How to prevent a stroke?

The most practical way of preventing a stroke from happening is being aware of the various risk factors of a stroke and maintaining a healthy lifestyle.

Can exercise really help prevent a stroke?

Exercise contributes greatly in losing and maintaining an ideal weight and lowering blood pressure. It is on it's own a stroke reducer.

What is the most common stroke type?

About 80 percent of strokes are ischemic strokes. Ischemic strokes occur whe...

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