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...

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...

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...

A stroke normally happens when blood cannot supply oxygen and important nutrients to your brain cells. When brain cells do not get enough oxygen or nutrients, they die. A stroke can happen in two main ways: 

  • Ischemic Stroke

  • Hemorrhagic Stroke

An Ischemic Stroke occurs when a blood vessel that supplies the brain becomes blocked or "clogged" and impairs blood flow to part of the brain. The brain cells and tissues begin to die within minutes from lack of oxygen and nutrients. The area of tissue death is called an infarct. About 87% of strokes fall into this category. Ischemic strokes are further divided into 2 groups, including the following:

  • Thrombotic strokes. These are caused by a blood clot that develops in the blood vessels inside the brain.

  • Embolic strokes. These are caused by a blood clot or plaque debris that develops elsewhere in the body and then travels to 1 of the blood vessels in the brain via the bloodstream.

On the other hand, Hemorrhagic...

If you have headaches that occur between 2 days before your period and in the first 3 days of flow, and if those headaches are more severe, or light bothers you more with those headaches, odds are you have menstrual migraine. Menstrual migraine is fueled by the drop in usual estrogen levels that occurs just prior to the menstrual period. The menstrual migraine window is considered 2 days before flow starts and continues for the first 3 days of menses.

Around 50 per cent of women notice a link between migraine and their periods. This may not be apparent until a woman reaches her late 30s or 40s, despite having had migraine since her teens or 20s. Women with other period problems often do not recognize that the accompanying headaches are actually migraine. 

Studies have shown that migraine can be triggered by a drop in Estrogen levels, such as naturally occurs around menstruation. Estrogen ‘withdrawal’ also triggers migraine in other situations such as the pill-free interval of combined or...

Ang "Stroke" ay ang kundisyon kung saan biglang nawawala o nagkukulang ang suplay ng dugo sa utak. Ang mga palatandaan ng babala ay kinabibilangan ng pagkalito / hindi makalakad ng maayos / pagkahilo / pagkawala ng balanse / sakit ng ulo.

Dito sa Pilipinas, ang pangunahing sanhi ng stroke ay ang high-blood. Ang high-blood pressure ay walang sintomas. Hindi mo mararamdaman kung may high blood pressure ka na. Yung karaniwan na sinasabi na mataas ang dugo ng isang tao kapag sumasakit ang batok niya ay maling interpre­tasyon. Kung ikaw or ang iyong mahal sa buhay as nakakadama ng simtomas ng stroke pumunta agad sa pinakamalapit na emergency department hospital upang mabigyan ng mabilis na lunas. Ang isang Neurologist ay isang espesyalista sa kaso ng stroke. 

A stroke is a serious life-threatening medical condition that occurs when the blood supply to part of the brain is cut off. Strokes are a medical emergency and urgent treatment is essential. The sooner a person receives tr...

What is a stroke?

A stroke occurs when blood flow to the brain is interrupted. When a stroke occurs, brain cells in the immediate area begin to die because they no longer receive the oxygen and nutrients they need to function.

What happens during a stroke?

When a stroke occurs the blood supply to part of the brain is suddenly interrupted. Brain cells die when they no longer receive oxygen and nutrients from the blood or if there is sudden bleeding into or around the brain.

What are the types of strokes?

A stroke can occur in two ways. In an ischemic stroke, a blood clot blocks or plugs a blood vessel or artery in the brain. About 80 percent of all strokes are ischemic. In an hemorrhagic stroke, a blood vessel in the brain breaks and bleeds into the brain. About 20 percent of strokes are hemorrhagic.

What are the symptoms of stroke?

What makes stroke symptoms distinct is their sudden onset:

  • Numbness or weakness of face, arm or leg 

  • Trouble speaking 

  • Trouble seeing in one or both e...

A stroke occurs when blood stops supplying any part of your brain which damages the brain cells. The most common type of stroke, accounting for almost 80% of all strokes, is ischemic stroke. Not only do many stroke survivors have to live with physical or cognitive disabilities, they also live in fear of a second attack. According to studies, 1 in 4 stroke survivors suffer a second stroke within 5 years. As many as 30% of all strokes are secondary strokes. They tend to be more disabling and costly, and are more likely to be fatal.

Prevention is the key! it starts with knowing your risk. 9 in 10 people have at least one risk factor for stroke or heart disease. Almost 80% of premature stroke and heart disease can be prevented through healthy lifestyle change. That means that habits like eating healthy, being active, avoid smoking and limiting alcohol have a big impact on your health.

One key factor in preventing a second stroke from happening is a hand in hand partnership with your doctor....

High blood pressure is defined as a systolic blood pressure above 140 mmHg and/or a diastolic blood pressure above 90 mmHg. Systolic blood pressure is the maximum pressure in the arteries when the heart contracts. Diastolic blood pressure is the minimum pressure in the arteries between the heart’s contractions. You will be classed as having high blood pressure if yours is consistently above 140/90 mmHg.

The stress that high blood pressure causes on all your blood vessels makes them weaken and predisposes them to damage. The heart also has to work double time to keep your blood circulating.  Once the blood vessel weakens they are more likely to block. Our brain depends on a nourishing blood supply to work properly and survive. But high blood pressure may cause several problems to the brain, including:

  • Transient ischemic attack (TIA). Commonly called a ministroke, It is a brief, temporary disruption of blood supply to your brain. It's often caused by atherosclerosis or a blood clot — b...

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