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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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...

Migraine is such a complicated condition that varies widely between individuals. What may work for one person may not for another. Typically it is a one-sided throbbing or pulsating headache that is at least moderately intense and can be aggravated by physical activity. It is very often associated with nausea and vomiting, as well as increased sensitivity to light, sound and even some types of smell. Doctors are unable to predict how an individual will respond to a particular treatment so this means you may need to try several different treatments until one is found that is the best at controlling your condition. 

Here are come of the most common reasons why migraine is triggered:

  • Stress

  • Lack of sleep

  • Viral infection

  • Missed or skipped meals

  • Dietary triggers (chocolate, cheese, etc)

  • Menstruation and Ovulation

  • Emotional imbalance

  • Weather change

It is always a challenge living with migraines. Majority of the people who suffers from it exper...

According to the World Health Organization (WHO); Neurological disorder are diseases of the central and peripheral nervous system. In other words, the brain, spinal cord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscles. These disorders include epilepsy, Alzheimer disease and other dementias, cerebrovascular diseases including stroke, migraine and other headache disorders, multiple sclerosis, Parkinson’s disease, neuroinfections, brain tumours, traumatic disorders of the nervous system due to head trauma, and neurological disorders as a result of malnutrition.

Hundreds of millions of people worldwide are affected by neurological disorders. More than 6 million people die because of stroke each year; over 80% of these deaths take place in low- and middle-income countries. More than 50 million people have epilepsy worldwide. It is estimated that there are globally 47.5 million people with dementia with 7.7 million new cases every...

Anxiety attacks also known as anxiety disorder are classified as one of the most common psychological problems. They can be the result of biochemical imbalances, past experiences, and stress. They are not neurological conditions. However, nerve disorders and psychological concerns can have similar symptoms. Therefore, neurologist are always on the lookout for the symptoms of depression and stress. 


When a person experiences mild to moderate anxiety, it may help one focus their attention, energy, and motivation. However, If anxiety is severe, you may have feelings of helplessness, confusion, and extreme worry that are out of proportion with the actual seriousness or likelihood of the feared event. Physical symptoms of anxiety include:

  • Trembling or shaking.

  • Feeling of fullness in the throat or chest.

  • Breathlessness or rapid heartbeat.

  • Dizziness. 

  • Cold sweat. 

  • Feeling jumpy.

  • Muscle tension.

  • Sleep problems.

If you think you have an anxiety disor...

Headache is one of the most common disorder of the nervous system. It happen when the nerve endings in different parts of your head and neck become irritated. Common complaint are  pain or discomfort in the head, scalp, or neck. 

A typical headache may lasts for about 3-4 hours. But for some people, severe headaches drag on much longer, sometimes for several days or months. Here are some of the possible causes of your "never ending headache" namely:

  • Hemicrania Continua - It is a continuous & fluctuating pain without shifting sides of the head. The pain is usually mild to moderate in intensity.

  • Rebound Headache - It is caused by a prolong & regular use of certain medications to treat headaches, such as migraine. Over the counter pain relievers may provide temporary relief.

  • Depression - According to studies; a generalized aches and pains is one of the main symptoms of depressive individuals.  

It is advisable to visit a headache specialist when you...

Lower back pain is very common in the Philippines. According to surveys, almost 4 out of 5 of us may suffer from back pain at some point in our lives and every year, 1 out of 5 people visit a doctor pertaining to lower back pain.  Typically, back pain is concentrated in the lumbar (lower back) region which takes most of the strain of our lifestyle. The pain can be associated with stiffness and muscle spasm.

The spine or spinal column is one of the strongest part of the body giving us a great deal of flexibility and strength.  It is made up of 24 bones, one sitting on top of each other and disc in between and lots of strong ligaments and muscles around them for support.  As we grow older, the structures of the spine, age as well. The structures remain strong but it is usual for your back to get stiffer as you get older. 

Here are a few tips and tricks in order for us to reduce the risk of back pain:

  • Regular back exercises and stretches

  • Maintain a daily active lifestyle

  • ...

A brain tumor is a collection of cells that have grown in a non ordered way. Tumors that start in the brain are called primary brain tumors. This is different to cancers that have spread to the brain from somewhere else in the body. These are called secondary brain tumors or brain metastases.

The truth of the matter is that brain tumors can be cancerous (malignant) or non cancerous (benign).  Around half of all brain tumors, or tumors in another part of the central nervous system, are malignant. The other half are benign tumors, or tumors where the diagnosis is not known.

Brain tumors that are cancerous (malignant) are more common in males than females. Non cancerous brain tumors, and tumors where the diagnosis is unknown, are more common in females.

According to studies; Almost half (46%) of brain tumors each year are diagnosed in people aged 65 and over. This includes tumors in other parts of the central nervous system and tumors anywhere else inside the bones of the head...

Daily Persistent Headache (DPH) is a type of continous headache that starts suddenly and happens on a daily basis with migraine-like or tension-like features. The headache is often described as a pressure-like or tightening sensation. The pain is often on both sides of the head, but can also be on one side or localized to one specific area.


People with DPH will frequently have sleep disturbance, pain at other sites, dizziness, worsening anxiety and mood, and school absence. Other frequent symptoms include non-specific abdominal pain, back pain, neck pain, and diffuse muscle and joint pain. It can resemble chronic migraine in its features, with days when there is light or sound sensitivity, nausea, throbbing, or pain on just one side of the head. Sometimes, it may resemble a tension-type milder headache without any of those features.


Daily Persistent Headache is treated like the headache it resembles, generally c...

Depression is certainly no laughing matter. We recently heard of the news regarding the celebrity chef & CNN Star, Anthony Bourdains' death (apparent suicide) last week. According to news reports the culprit was depression. 

Depression is a disorder by low mood and a wide range of other possible symptoms, which will vary from person to person. This illness can develop quickly or gradually, and be brought on by life events and/or changes in body chemistry, and it is often accompanied by feelings of anxiety. It can strike anyone, and is manageable in very many cases.   

This is different from feeling sad or feeling down. Unhappiness is something which everyone feels at one time or another due to particular cause. Well, depression is an intense emotions of anxiety, hopelessness and helplessness and the feeling stays within a person instead of going away. 

There are certainly many signs of depression  because this soul-destroying illness affects each person differently, and in its d...

Do you know that migraine pain is a complex neurological condition; which can affect the whole body and can result in many symptoms, sometimes without a headache at all. It may be easily overlooked or mistaken for other conditions and can affect people in many different ways. 

Some of the symptom of migraine may include: flashing lights, blind spots in the vision, nausea, vomiting, debilitating head pain, pins and needles & even numbness in the limbs.Migraine is triggered by an enormous variety of factors - not just cheese, chocolate and red wine! For most people there is not just one trigger but a combination of factors which individually can be tolerated. When these triggers occur altogether, a threshold is passed and a migraine is triggered. The best way to find your triggers is to keep a migraine diary.

Thanks to modern technology; A drug-free & non-invasive migraine treatment option is now available. Many people suffer from frequent migraine attacks and a significant...

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