Contact Us:

Alpha Specialist Centre

25-31 Jalan PJU 5/6, Dataran Sunway, Kota Damansara
47810 Petaling Jaya, MALAYSIA

Tel: +603-6141 8533
Fax: +603-6141 8532
http://alphaspecialist.com

http://advancedneuroscience.com.my

email: advancedclinicalneuroscience@gmail.com

Dr. Foo-Chiang LEE

Sunway Medical Centre
Tel: +603-7491 0777
+603-7491 5519
email: foochiang@gmail.com
 

Dr. Chee-Pin CHEE

Pantai Hospital Kuala Lumpur Tel: +603-2072 6331
Gleneagles Hospital Kuala Lumpur Tel: +603-4257 8331
email: drcpchee@gmail.com

Dr. Moon-Keen LEE

 
Pantai Hospital Kuala Lumpur Tel: +603-2296 0499
Sunway Medical Centre Tel: +603-7491 8833
email: mkleeneuro@gmail.com
website: http://mkleeneuro.com
  1. Adi
    5 April, 2016 at 1:56 PM

    Greetings Dr,

    My father-in-law has recently been diagnosed with Amyloidosis AL by specialists at PPUM. I read online that besides chemotherapy and oral medication treatment, stem cell therapy has a high success rate in combating the advancement of this disease. Would highly appreciate your opinion on this matter.

    Also, does your establishment have the necessary abilities and capabilities to carry out a treatment plan?

    Thank you,

    Regards,
    Adi

    • 8 April, 2016 at 11:10 AM

      Dear Adi

      Thank you for your enquiry. We are not aware of any facility which provides stem cell treatment for Amyloidosis in Malaysia.

      Best regards,
      Webmaster

  2. Alvin Low
    21 March, 2016 at 9:32 AM

    Dear Dr Lee,
    My mother who is 70 yrs old sometimes suffered an attack which looks like mild stroke or could be dementia. So far, the attack last for less than 2 to 3 minutes. One particular incident was when having dinner, she suddenly stops eating and her hands drop on the table with no energy & can’t even hold the fork & spoon, looks blank and speechless & when we called her no response and even rub/tab on her face, no response from her.After a while, she regained her consciousness and ask us what happen to her and where are we?

    Not sure whether this are mild stroke symptoms or dementia?
    Consulted Neurologist in Ipoh & done EEG (Electroneurophysiology) but no adverse findings.
    Also, consulted cardiologist & done stress test but to no avail.
    Thinking of MRI to scan her brain.
    What is your advise?
    Thanks

    Alvin Low

    • 22 March, 2016 at 11:38 AM

      Dear Alvin
      From the limited info provided, the diagnostic possibilities are Transient Ischaemic Attacks (TIA, mini-strokes which resolve completely) and Epileptic Seizures. These conditions are diagnosed from clinical history and observations, supplemented by tests. For a start, your Mother needs a thorough evaluation of the attacks from detailed descriptions provided by observers, in order to differentiate between the phenomenology of TIAs vs. seizures.
      In analysing the results of tests, you should appreciate that in certain contexts, they may not provide 100% confirmation of the diagnosis.
      1. TIAs are due to these processes: (1) narrowing of arteries supplying the brain or (2) emboli, i.e. blood clots/debris travel to the brain (sourced from these arteries or from the heart). TIAs by definition would leave no trace on any imaging including MRI. Any brain infarcts detected on scans would just confirm the presence of previous strokes, not necessarily on-going TIAs. As for plaques seen in the cerebral arteries (e.g. on neck artery Ultrasound or Magnetic Resonance Angiography, MRA), they merely imply risk of embolisation to the brain. Proof of emboli occurring in real-time could be provided by Transcranial Doppler (TCD) study. However, this test is operator-dependent (high level of skill is needed) and diagnostic yield is not high, due to the random occurrence of embolic events.
      2. The 1st interictal EEG (recorded in between seizure events, which are by nature intermittent) reveals epileptic discharges in up to 60-70% of epilepy cases. The remaining “negative” results could be due to failure to capture seizure activity in a single recording. Of course, repeated EEGs may increase the pick-up rate.
      From the above, it follows that all test results need to be evaluated in conjunction with the clinical information. Most of the time, a reasonably accurate diagnosis can be arrived at, so that treatment can be instituted. For example, the episodes observed are consistent with TIA description and test results are congruent.
      Any remaining uncertainty would be resolved if the patient shows good response to the treatment which is selected.

  3. Sidney
    21 March, 2014 at 10:15 AM

    Dr Foo, would like to know dizzy and numbness at one side of hand also consider as symptom of stroke? because my daddy get dizzy and numbness on his hand since 2 weeks ago. I search online this is a symptom of stroke. i m worry about this.

    • 24 March, 2014 at 4:30 PM

      Dear Mr. Sydney,
      You should take him to see a neurologist and have an MR Angio done with DW sequence to exclude early stroke as the symptoms you describe may indeed be a prodrome of cerebral ischemia. Anti platelet medication, anti-hypertensive, statins to lower cholesterol level and diabetic medications may be needed if he has these associated risk factors.
      Thank you.
      Dr. LEE Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Center

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