Mathew stroke scale

Assoc Prof Craig Hacking ◉ ◈ and Dr R Liong et al.

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.

Classification

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)

Interpretation

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.

References

Stroke and intracranial haemorrhage

stroke and intracranial hemorrhage
- code stroke CT (an approach)
- ischemic stroke
  - general discussions
  - scoring and classification systems
  - signs
  - by region
    - hemispheric infarcts
      - frontal lobe infarct
      - parietal lobe infarct
        Gerstmann syndrome
      - temporal lobe infarct
      - occipital lobe infarct
        
        alexia without agraphia syndrome: PCA
        
        cortical blindness syndrome (Anton syndrome): top of basilar or bilateral PCA
        
        Balint syndrome: bilateral PCA
    - lacunar infarct
      - lacunar stroke syndromes
      - lenticulostriate infarct
    - thalamic infarct
      - Déjerine-Roussy syndrome (thalamic pain syndrome): thalamoperforators of PCA
      - top of the basilar syndrome
    - striatocapsular infarct
    - cerebellar infarct
    - brainstem infarct
      - midbrain infarct
        
        Benedikt syndrome: PCA
        
        Claude syndrome: PCA
        
        Nothnagel syndrome: PCA
        
        Weber syndrome: PCA
      - pontine infarct
        
        Brissaud-Sicard syndrome
        
        facial colliculus syndrome
        
        Gasperini syndrome: basilar artery or AICA
        
        inferior medial pontine syndrome (Foville syndrome): basilar artery
        
        lateral pontine syndrome (Marie-Foix syndrome): basilar artery or AICA
        
        locked-in syndrome: basilar artery
        
        Millard-Gubler syndrome: basilar artery
        
        Raymond syndrome: basilar artery
      - medullary infarct
        
        Babinski-Nageotte syndrome
        
        hemimedullary syndrome (Reinhold syndrome)
        
        lateral medullary stroke syndrome (Wallenberg syndrome)
        
        medial medullary syndrome (Déjerine syndrome)
    - acute spinal cord ischemia syndrome
  - by vascular territory
    - anterior circulation infarction
    - posterior circulation infarction
  - treatment options
    - mechanical thrombectomy
  - complications
    - crossed cerebellar diaschisis
    - hemorrhagic transformation of an ischemic infarct
      - cerebral intraparenchymal hyperattenuations post thrombectomy
- intracranial hemorrhage
  - intra-axial hemorrhage
    - signs and formulas
      - ABC/2 (volume estimation)
      - CTA spot sign
      - swirl sign
    - by region or type
  - extra-axial hemorrhage

Article information

rID: 80498

System: Central Nervous System

Section: Classifications

Tag: ref-link, ischaemia, cerebrovascular accident, stroke, cerebral infarction

Synonyms or Alternate Spellings:

Matthew stroke scale (MSS)

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