

Common signs of Spasticity after a Brain Stroke
When a stroke causes spasticity, muscle stiffness usually locks one side of the body into awkward, tight positions. In the arm, this shows up as a tight fist, a bent wrist, or an elbow pulled inward against the chest. In the leg, it causes a stiff knee or a foot pointing down and inward, making it hard to walk without tripping. Over time, these locked muscles lead to painful spasms and stiff, aching joints. Muscle stiffness after a stroke—medically known as spasticity—occurs


Golden Period of Stroke Recovery
The "Golden Window" refers to the critical early hours following stroke onset. Administering intravenous thrombolytics (clot-busters) within 4.5 hours or performing mechanical thrombectomy (clot removal) within 24 hours restores vital blood flow to starving brain tissue. Primary Benefits: Limits Permanent Damage: Prevents the death of millions of brain cells ("Time is Brain"). Preserves Daily Function: Drastically reduces long-term paralysis, speech loss, and disability. Maxi


What Causes Post Stroke Spasticity?
A stroke can damage the brain's "brakes" that normally tell your muscles to relax. Without these calming signals, your muscles stay continuously tight and clenched on the side affected by the stroke. This muscle stiffness causes noticeable posture changes. In the arm, it often leads to a tight fist, bent wrist, or an elbow pulled close to the chest. In the leg, it can cause a stiff knee or a foot turned downward, making walking difficult. Over time, this constant tightness ca


Specialized Neurological Care
Timely access to specialized neurological care is essential for mitigating cerebrovascular injury and preserving cognitive function. By conducting comprehensive evaluations, implementing targeted interventions, and optimizing post-stroke rehabilitation, expert neurologists effectively reduce long-term neurological deficits. Establishing prompt clinical oversight ensures evidence-based therapeutic management, significantly improving patient outcomes and overall quality of life


Who is Dr Winnie Lim Khoo - Neurologist in Manila?
Dr. Winnie Sharon Lim Khoo, MD, FPNA is an adult neurologist in Metro Manila, recognized for her subspecialized expertise in headache disorders and brain stroke. Key Credentials & Qualifications Specialization: Adult Neurology (Brain, Spinal Cord, and Peripheral Nerves). Subspecialty / Advanced Training: Master of Headache Disorder (University of Copenhagen, Denmark). Neuropathology Observership Training (Columbia Presbyterian Hospital, New York, USA). Specialized Resid


Cerebrovascular cases : Brain Strokes in the Philippines
Types of Brain Stroke Cases Ischemic Stroke: Acute management and long-term secondary prevention for blockages in blood supply to the brain. Hemorrhagic Stroke & Brain Aneurysms: Medical management, post-bleed stabilization, and monitoring for vascular malformations or aneurysms. Transient Ischemic Attacks (TIA / "Mini-Strokes"): Diagnostic workups to prevent full-blown cerebrovascular events. Post-Stroke Neuro-Rehabilitation: Management of post-stroke complications, includin


Migraine vs Headache What You Need to Know
Headaches are a common experience for many people, but not all headaches are the same. Some headaches are mild and short-lived, while others can be severe and debilitating. Among the various types of headaches, migraines stand out as a distinct condition with unique symptoms and causes. Understanding the differences between a migraine and a regular headache can help you identify your symptoms more accurately and seek appropriate treatment. Person experiencing migraine pain, h


Dr Winnie Lim Khoo as Seminar Speaker at Philippines Neurological Assocation 2025
Deeply honored and thankful to stand alongside these esteemed physicians at the 47th Annual Convention of the Philippine Neurological Association.
























