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...

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...

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...

Lower Back pain is a very common problem among adults affecting up to 80% of people at least once in their lifetime. The pain can lead to significant loss of function resulting in individuals being unable to complete their normal daily activities including work.  In most cases the pain isn't caused by anything serious and will usually get better over time. 

Lower back pain can cause a range of symptoms. The pain may be dull or sharp. It may be in one small area or over a broad area. You may have muscle spasms. It may also cause leg symptoms, such as pain, numbness, or tingling, often extending below the knee. A rare but serious problem called Cauda Equina Syndrome can occur if the nerves at the end of the spinal cord are squeezed. Seek emergency treatment if you have weakness or numbness in both legs or you lose bladder or bowel control.

Here a few practical tips on how to prevent and reduce pain in the Lower Back Pain:

  • Maintain good posture when you sit, stand, and walk

  • Be...

Sleep is equally important to our body just like drinking, eating and breathing. It is a an important element in keeping a good mental and physical health.  Sleep help a person recover from a mental and well as physical exhaustion. Sleep is thought to help keep your immune system strong and your heart and blood vessels healthy. It allows for growth and healing.


As the pace of life increases and we pack more into each day, our sleep patterns have suffered. In fact, poor sleep quality is now considered to be pandemic throughout the world. That makes teaching children about the importance of a good night's sleep particularly important, because sleep patterns acquired in childhood often feed through into adulthood.


It's not just how long you sleep that matters. The quality of your sleep is just as important. Every night you need to go through several stages of sleep - falling peacefully into a deep sleep and periodically returning to so-called REM (Rapid Eye Movement) sleep before ent...

Insomnia is when you find it difficult to get to sleep, or to stay asleep for long enough to feel refreshed the next morning. It can affect your quality of life if you feel tired and find it hard to concentrate during the day. as you get older, you're more likely to have difficulty sleeping – half of people over 65 have insomnia at some time.

There are two types of insomnia:

  • Primary insomnia has no obvious cause. 

  • Secondary insomnia is caused by another health condition. 

Symptoms of insomnia may include: 

  • difficulty staying asleep 

  • difficulty getting to sleep 

  • waking up early in the morning

  • feeling tired and irritable

Some home remedies that you may try:

  • Take a warm milk & warm bath before heading to bed

  • Go to bed at the same time each night

  • Avoid working in the bedroom

  • No alcohol before bedtime

  • Avoid smoking at night

  • Limit the use of mobile phone before bedtime

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