Stroke
Call 9-9-5 immediately if you or a loved one is experiencing stroke symptoms.
In Singapore, stroke is the leading cause of adult disability and the 4th leading cause of death. 3.65% of the population has had stroke in Singapore with 26 new stroke cases daily.
With our commitment to your well-being, the Supreme Vascular and Interventional Clinic provides a comprehensive range of treatments backed by the latest advancements in medical science for stroke. From advanced interventions to personalized management programs, Dr. Manish Taneja, our neurointervention specialist, will work closely with you and your loved ones to create a tailored plan.

Overview
Stroke is one of the most common conditions causing death worldwide. There is high incidence of permanent brain damage severely affecting quality of life in affected patients. It can be a devastating event both for patient and the family.
Comprehensive Stroke Prevention and Treatment at the Supreme Vascular and Interventional Clinic
At the Supreme Vascular and Interventional Clinic, stroke care extends beyond treating a stroke after it occurs. Our approach focuses on identifying risk factors early, preventing future stroke events, and providing access to advanced treatment options when necessary.
Our stroke programme combines:
- Stroke risk assessment
- Vascular screening
- Advanced neurovascular imaging
- Medical optimisation
- Minimally invasive endovascular treatments
- Long-term stroke prevention strategies
Every patient’s care plan is tailored according to their individual risk profile, symptoms, imaging findings and overall health goals.


Symptoms of Stroke
Possible Stroke Symptoms
- Sudden weakness
- Facial drooping
- Speech difficulties
- Vision changes
- Loss of balance
Possible TIA Symptoms
- Temporary weakness
- Temporary speech problems
- Brief vision loss
Causes and Risk Factors
The best way to treat a stroke is to prevent stroke. Many strokes are associated with underlying vascular and medical conditions that can be identified and managed before symptoms develop. A comprehensive assessment allows specialists to evaluate risk factors, identify potential concerns and develop a personalised prevention strategy.
Well Known Risk Factors
- High blood pressure
- Poory controlled diabetes
- High cholesterol
- Smoking
- Obesity
- Atrial fibrillation
- Carotid artery disease
- Previous stroke or transient ischaemic attack (TIA)
- Family history of stroke
- Unhealthy lifestyle with lack of physical activity
Stroke Prevention Strategies
Depending on individual risk factors, recommendations may include:
- Blood pressure optimisation
- Cholesterol management
- Diabetes control
- Smoking cessation
- Dietary and lifestyle modifications
- Exercise programmes
- Medication management
- Ongoing vascular monitoring
How Strokes Are Diagnosed?
A neurointervention specialist takes a C.T. scan or M.R.I. of the brain to help identify the location and extent of the bleeding in strokes. They may also perform blood tests to look for abnormal clotting, and a lumbar puncture helps rule out bleeding in the spinal fluid. Your stroke doctor may perform an electrocardiogram (E.C.G.) to identify heart problems that could increase the risk of stroke.
Stroke Screening Process
Stroke screening involves performing a thorough physical examination. It also helps rule out risk factors such as age, family history, obesity, high blood pressure, high cholesterol levels, smoking, and diabetes.
- A diagnostic test is conducted to detect the presence of any blood clots, blockages, or abnormalities in the brain using a C.T. scan and M.R.I.
- A specialist interprets the diagnostic test results to determine stroke damage and the best course of treatment.
- The appropriate course of treatment is prescribed based on the diagnostics and interpretation. Follow-up care is essential to help patients recover fully or prevent the occurrence of another stroke.
- In some cases, cerebral angiography may be performed, providing highly detailed information about blood vessel structure and blood flow.
The Supreme Vascular and Interventional Clinic in Singapore offers comprehensive stroke screening.
Stroke Treatment Options
Advanced Stroke Treatment Options
While prevention remains the most effective strategy for reducing stroke-related disability, some patients may require urgent treatment when a stroke occurs. Stroke treatment involves medical management along with control of risk factors to prevent future stroke. Interventional treatments are often required to treat and prevent stroke in patients. One of the most recent and well established interventional treatment for acute stroke since 2015 is to remove clot from the brain causing acute stroke in some of these suitable category of patients.
Modern stroke care includes both medical management and advanced minimally invasive procedures designed to restore blood flow to the brain and reduce the risk of long-term neurological injury.
Mechanical Thrombectomy
While prevention remains the most effective way to reduce stroke risk, some patients require urgent intervention when a stroke occurs. Mechanical thrombectomy is a minimally invasive procedure used to remove blood clots from blocked brain arteries during selected acute ischaemic strokes.
Using advanced catheter-based technology, specialists can restore blood flow to affected areas of the brain and potentially reduce long-term neurological injury.
Discover how clot retrieval procedures are performed and when they may be considered as part of acute stroke treatment.
Carotid Stenting
Carotid artery stenting is a minimally invasive endovascular procedure used to treat selected patients with narrowing of the carotid arteries, the major blood vessels that supply blood to the brain.
Carotid artery narrowing, also known as carotid artery stenosis, is commonly caused by the build-up of fatty deposits called plaque within the artery. Significant narrowing can reduce blood flow to the brain and may increase the risk of stroke.
Intracranial Stenting
Intracranial stenting is a minimally invasive endovascular procedure used to treat selected patients with significant narrowing of an artery within the brain.
Intracranial artery narrowing, also known as intracranial arterial stenosis, can reduce blood flow to the brain and may increase the risk of transient ischaemic attacks (TIAs) or ischaemic stroke.
Learn more about stroke treatment options:
A Comprehensive Approach to Stroke Care
At the Supreme Vascular and Interventional Clinic in Singapore, stroke care extends beyond treating an event after it occurs. The focus includes:
Prevention
Identifying and managing stroke risk factors before complications develop.
Diagnosis
Using advanced imaging and vascular assessment to understand underlying causes.
Treatment
Providing access to modern neurovascular and endovascular treatment options when appropriate.
Long-Term Care
Supporting ongoing risk reduction and prevention of future strokes through continued monitoring and management.
Frequently Asked Questions
How Specialists Assess Stroke Risk
Stroke rarely occurs because of a single factor. Instead, specialists evaluate a combination of medical, lifestyle and vascular factors to understand both immediate and long-term risk.
Common Factors Considered
Medical Conditions
- High blood pressure
- Diabetes
- High cholesterol
- Atrial fibrillation
- Previous stroke
- Previous TIA (mini-stroke)
Lifestyle Factors
- Smoking
- Obesity
- Sedentary lifestyle
- Excessive alcohol consumption
Vascular Conditions
- Carotid artery disease
- Intracranial arterial narrowing
- Brain aneurysms
- Other vascular abnormalities
Why Risk Assessment Matters
Early identification of risk factors often allows intervention before a stroke occurs. Patients with stroke, transient ischaemic attacks (TIA), or significant vascular risk factors may benefit from comprehensive assessment at the Supreme Vascular and Interventional Clinic where we offer comprehensive cerebrovascular and cardiovascular evaluation. Read more in our informative article, Which Singapore Centres Are Known for Comprehensive Stroke, Heart, and Peripheral Vessel Risk Assessments?.
Explore Stenting Decision Making Guides
- For intracranial stenting-related decision pathways, visit, Intracranial Stenting decision-making.
- For carotid stenting-related decision pathways, explore our Carotid Stenting decision-making guide.
Stroke can occur when blood flow to the brain is interrupted, including from narrowing of the carotid arteries. Our Carotid Artery Disease (CAD) & Stroke Image Library provides easy-to-understand illustrations explaining stroke mechanisms, carotid artery disease, and available treatment options.
When Is Stroke Screening Recommended?
Not everyone requires extensive stroke screening. Stroke specialists typically recommend assessment for individuals with:
Higher Risk Profiles
- Multiple cardiovascular risk factors
- Family history of stroke
- Previous TIA
- Carotid artery disease
- Irregular heart rhythms
- Long-standing hypertension
Possible Warning Symptoms
- Temporary weakness
- Temporary speech difficulties
- Sudden visual disturbances
- Episodes of dizziness or imbalance
- Unexplained neurological symptoms
Potential Investigations
- Blood pressure assessment
- Carotid ultrasound
- CT angiography
- MRI brain imaging
- Cardiac evaluation
While headache is not the most common symptom of stroke, a sudden severe headache accompanied by neurological symptoms should never be ignored. To understand when headaches require urgent medical evaluation and how specialists differentiate between common headache disorders and neurovascular conditions, explore our Headache Decision-Making Guide.
How Do Doctors Decide Between Preventive Stroke Care, Emergency Treatment, and Procedures?
Doctors tailor stroke care based on whether the goal is to prevent a stroke before it happens or treat a stroke after it occurs.
Preventive stroke care focuses on reducing future stroke risk through:
- Risk assessment and screening
- Blood pressure, cholesterol, and diabetes management
- Antiplatelet medications (when appropriate)
- Smoking cessation and lifestyle modification
- Vascular evaluation and ongoing monitoring
For many people, these preventive measures are sufficient to effectively lower stroke risk.
However, if investigations reveal significant carotid artery narrowing, high-risk vascular abnormalities, certain aneurysms, or other conditions that substantially increase stroke risk, doctors may recommend an interventional procedure. The decision is always based on carefully balancing the potential benefits of treatment against its risks.
If a stroke has already occurred, priorities change completely. Emergency stroke treatment focuses on restoring blood flow as quickly as possible, minimising brain injury, preserving neurological function, and reducing long-term disability. Because brain tissue can be permanently damaged when its blood supply is interrupted, time is critical in emergency stroke care.
When Is Mechanical Thrombectomy Considered?
Mechanical thrombectomy is an advanced minimally invasive procedure used to remove blood clots from blocked brain arteries during certain acute strokes. Specialists may evaluate:
Imaging Findings
- Location of blockage
- Size of affected vessel
- Amount of salvageable brain tissue
Clinical Factors
- Severity of symptoms
- Timing of presentation
- Overall health status
Treatment Goals
The primary goal is rapid restoration of blood flow to reduce permanent neurological injury. Not every stroke patient requires thrombectomy, which is why specialist assessment and imaging play such a critical role. Learn more about how the Supreme Vascular and Interventional Clinic provides mechanical thrombectomy procedures with our experienced and skilled specialist, Dr. Manish Taneja.
What Imaging Reveals Before Treatment Decisions Are Made
Modern stroke care relies heavily on imaging. These help specialists understand:
Brain Structure
- Existing injury
- Previous strokes
- Areas at risk
Blood Vessel Health
- Narrowing
- Blockages
- Aneurysms
- Vascular malformations
Blood Flow Patterns
- Areas with reduced circulation
- Tissue that may still be saved
- Potential treatment opportunities
Common Imaging Modalities
- CT Brain
- CT Angiography (CTA)
- MRI Brain
- MR Angiography (MRA)
- Cerebral Angiography
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