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Dr Prakash Rameshchandra Paliwal — Stroke & Cerebrovascular Neurologist in Singapore

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Dr Prakash R Paliwal is a neurologist practising at Gleneagles Hospital in Singapore. He completed Advanced Specialist Training in Neurology at the National University Hospital (NUH), finishing in 2013, after obtaining his MRCP (UK) in 2009.

His clinical interests include stroke, headaches, movement disorders including Parkinson’s disease, epilepsy, autoimmune neurological disorders and demyelinating conditions. He holds certifications in neurosonology (transcranial and extracranial Doppler) and EEG.

He has authored numerous publications in peer-reviewed journals, with a particular focus on stroke care.

Clinical focus

Stroke & cerebrovascular neurology.

Qualifications (as publicly listed)

MBBS, MRCP (UK), FRCP (Edin), FAMS; American Society of Neuroimaging certification in Neurosonology; ASEPA EEG certification.

Where they practise

  • Clinic / practice: Paliwal Neurology Clinic — Tanglin / Gleneagles
  • Hospital / training affiliation(s): Gleneagles Hospital

Getting to the clinic

Dr Prakash Paliwal practises at Gleneagles Hospital on Napier Road, in the Tanglin area just off the western end of Orchard. The nearest train station is Napier MRT (TE12) on the Thomson-East Coast Line, with Orchard Boulevard MRT (TE13) also within reach; from either station the hospital is a short distance away. Because the approach to Gleneagles involves some walking along Napier Road, many patients find a taxi or ride-hailing trip the most convenient way to arrive, and the hospital has a sheltered drop-off point at its main entrance. Several public bus services run along Napier Road and nearby Holland Road and Tanglin Road.

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In a medical emergency, or for severe or sudden symptoms such as breathing difficulty, chest pain, fainting or stroke signs, call 995 immediately.

If you are driving, paid visitor parking is available within the Gleneagles Hospital and Annexe Block carparks. As a busy private hospital, parking can be in demand at peak clinic times, so allow a few extra minutes. When booking, note the exact block and suite so you can follow the signage to the correct consulting room. Patients coming from the city or the east may prefer the Thomson-East Coast Line to Napier, while those from further afield often combine the MRT with a short taxi for the final stretch.

What stroke and cerebrovascular neurology covers

Stroke and cerebrovascular neurology deals with conditions affecting the blood supply to the brain. A stroke occurs when this supply is interrupted, either by a blockage (ischaemic stroke) or by bleeding (haemorrhagic stroke), and the resulting damage can affect movement, speech, vision, sensation and thinking. This subspecialty covers the assessment of people who have had a stroke or a transient ischaemic attack (a brief warning episode), the investigation of why it happened, and the management of risk factors to reduce the chance of further events. Dr Paliwal’s interests also extend to headaches, movement disorders including Parkinson’s disease, epilepsy, autoimmune neurological disorders and demyelinating conditions.

A key part of cerebrovascular care is identifying and treating underlying causes and risk factors, such as high blood pressure, irregular heart rhythm, diabetes, high cholesterol and narrowing of the arteries. Specialist vascular ultrasound of the brain and neck vessels (neurosonology), in which Dr Paliwal is certified, can help assess blood flow. Management combines medication, lifestyle advice and rehabilitation, and is tailored to each person’s pattern of risk and recovery.

What to expect at a consultation

A first consultation begins with a careful history of your symptoms and any previous neurological events, together with a review of your medical background and risk factors. The neurologist will perform a neurological examination, assessing areas such as strength, coordination, sensation, speech, vision and balance. For stroke-related concerns, attention is given to identifying the likely mechanism so that the right preventive treatment can be chosen.

Investigations may include brain imaging, ultrasound of the blood vessels, heart-rhythm monitoring, blood tests and, where relevant, an EEG. The neurologist will explain the findings, discuss the diagnosis and set out a plan that may combine medication, risk-factor control and referral for rehabilitation or further tests. You should leave with a clear understanding of your treatment and the warning signs that warrant urgent attention.

Preparing for your appointment

Helpful items to bring include:

  • Photo identification and any GP or polyclinic referral letter.
  • Previous brain scans, ultrasound or test results, with the images where available.
  • A full list of your medications and supplements, including blood thinners and blood-pressure tablets.
  • A written summary of your symptoms, when they occurred and how long they lasted.
  • Records of relevant readings such as blood pressure, and any recent blood results.

If you have had difficulty with speech, memory or movement, bringing a family member who can describe the changes is often valuable.

After your consultation and follow-up

After your visit you will receive an explanation of the diagnosis and a management plan, with test results provided once ready. Cerebrovascular conditions usually require ongoing follow-up to monitor risk factors, review medication and track recovery. You may be referred for rehabilitation, further imaging or specialist procedures as needed, and continuity with the same neurologist helps keep prevention on track. A second opinion is always available to you. Importantly, treat stroke as an emergency: if you or someone else develops sudden facial drooping, arm weakness or slurred speech, call for emergency help immediately, as rapid treatment can make a major difference to recovery.

Booking, referrals and fees

As a private specialist, Dr Paliwal can usually be seen without a referral, although a GP or polyclinic letter helps convey your history and supports access to subsidised care if you later use the public system. MediSave, MediShield Life and Integrated Shield Plans may apply to eligible procedures or admissions within set limits, while consultations are generally paid out of pocket. Confirm current fees and insurance coverage directly with the clinic before attending.

Common questions

What is the difference between a stroke and a TIA?

A transient ischaemic attack causes stroke-like symptoms that resolve, usually within minutes to an hour, but it is an important warning sign and should be assessed promptly.

How can I lower my risk of another stroke?

Controlling blood pressure, cholesterol, diabetes and heart rhythm, not smoking, and taking prescribed medication all help. Your neurologist will tailor advice to your situation.

What is neurosonology?

It is the use of ultrasound to examine blood flow in the vessels of the neck and brain, helping to assess narrowing or other changes that may relate to stroke risk.

Can younger people have strokes?

Yes. While risk rises with age, strokes can occur in younger adults too, sometimes from different causes, which is why thorough investigation matters.

Related guides

Sources & verification

See also: our editorial directory of neurologists in Singapore and our shortlist of neurology clinics.

This is an independent, factual profile compiled from the public sources listed above — not a paid listing, advertisement or endorsement. Details can change; always verify a doctor’s current registration on the Singapore Medical Council public register and confirm specifics directly with the clinic. This page is general information, not medical advice or a recommendation of any individual practitioner. See our editorial policy.

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