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 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...

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...

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...

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...

Migraine is referred to as an intense headache that may be accompanied by other symptoms such as vomiting, nausea, lightheadedness, visual problems and an increased sensitivity to light or sound. Migraines may not be a big threat to life but it can significantly damage the quality of people’s lives.

Common migraine triggers are as follows:

  1. Stress

  2. Anxiety

  3. Caffeine

  4. Alcohol

  5. Dehydration

  6. Chocolate

  7. Cheese

  8. Tention on neck or shoulder

  9. Dental issues

  10. Eye strain

  11. Bright Light

  12. Loud Noise

  13. Smoking

  14. Head Injury

Ultimately the key to prevent migraine is to try to avoid the things that might trigger your attacks. Most people benefit from trying to get stable sleep, eating regular meals, drinking plenty of fluids to keep hydrated, and trying to manage stress. Taking regular exercise may also help prevent migraines since it helps with breathing, improving blood sugar balance and maintaining general wellbeing. If you or your love ones...

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...

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