Mathew stroke scale
Citation, DOI & article data
The Mathew stroke scale is used to measure the degree of impairment from stroke 1. It was originally developed to evaluate the neurological status of patients treated with glycerol in acute stroke.
- level of consciousness: comatose (0), stuporous (2), obtunded (4), lethargic but mentally intact (6), fully conscious (8)
- orientation to time, place and person: disoriented (0), oriented x 1 (1), oriented x 2 (2), oriented x 3 (3)
- Reitan speech function: 0-23
- homonymous hemianopia: intact to severe (0-3)
- conjugate deviation of eyes: intact to severe (0-3)
- facial weakness: intact to severe (0-3)
- motor power (each limb): no movement – normal power (0-5)
- performance or disability status scale: death, severe-mild impairment or normal (0-28 in increments of 7)
- reflexes: none elicited – normal (0-3)
- sensations: no response to pain, mild-severe sensory abnormality, normal (0-3)
The scale ranges from 0 (indicating death) to 100, with a lower value indicating a greater degree of severity. It is has been criticized for issues with internal consistency and interobserver reliability 2,3.
- 1. Mathew N, Meyer J, Rivera V, Charney J, Hartmann A. Double-blind Evaluation of Glycerol Therapy in Acute Cerebral Infarction. Lancet. 1972;300(7791):1327–9.
- 2. Sun Z, Yue Y, Leung CCH, Chan MTV, Gelb AW, Hardman JG, et al. Clinical diagnostic tools for screening of perioperative stroke in general surgery: A systematic review. Br J Anaesth. 2016;116(3):328–38.
- 3. Gelmers HJ, Gorter K, De Weerdt CJ, Wiezer HJA. Assessment of interobserver variability in a dutch multicenter study on acute ischemic stroke. Stroke. 1988;19(6):709–11.