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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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...

PAIN & STIFFNESS

One may feel pain on the side or middle of the neck and may extend to the shoulder and shoulder blades or to the upper chest. It is commonly a challenge to move because of the pain and you may feel tightness in your muscles specially if you have been sitting in one position for a long time.  You may notice that your neck doesn't turn as far as it normally does. 

CLICKING NOISE

In several occasions, one may hear or feel a clicking sound when you move your hear.  It is caused by bony surfaces moving agaisnt each other. Other joints often do this too but noises from your neck usually seem louder because they are happening near your ear.

TINGLING SENSATION

When a persons nerve root is being pinched, you may experience numbness, tingling or pins and needles down your arm and to your fingers.

MUSCLE SPASM

In some cases, when one person experience neck pain, he / she may also have muscle spasm that turn your head to one side.  This is not very common but is unpleasant. This usu...

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...

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...

We first have to remember that motion sickness is not a serious illness and may be prevented. It is commonly defined as the feeling of cold sweat,  nausea, dizziness accompanied with vomiting when a persons' sense of balance is disrupted by constant motion. Riding in a car, aboard a ship or boat may cause stimulation of the vestibular system and visual stimulation that often leads to motion sickness. It usually quiets down as soon as the motion stops. The more you travel, the more easily you'll adjust to being in motion.

While all five of the body's sensory organs contribute to motion sickness, excessstimulation to the vestibular system within the inner ear has been shown to be one of the primary reasons for this condition.Balance problems, or vertigo, are caused by a conflict between what...

Trigeminal Neuralgia (TN) or the commonly called “Facial Pain” is a disorder of the fifth cranial nerve that causes episodes of intense, sharp shooting, stabbing pain in the areas of the face where the branches of the nerve are distributed – lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw. It usually occurs in short, unpredictable attacks that can last from a few seconds to about two minutes. People with the condition may experience attacks of pain regularly for days, weeks or months at a time. In severe cases attacks may occur hundreds of times a day.

Here are a few symptoms of Trigeminal Neuralgia: Sharp pain / Pain that comes and goes / Pain must be in the distribution of the trigeminal nerve . Attacks of facial pain may be triggered by certain actions or movements, such as:

  • talking

  • smiling

  • chewing

  • brushing your teeth

  • washing your face

  • a light touch

  • shaving or putting on make-up

  • swallowing

  • kissing

  • a cool breeze or air condit...

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