This is an unpublished letter to the Editor of the <i>Journal of Stroke & Cerebrovascular Disease </i>highlighting fundamental issues with a paper on the Acute Stroke Registry Malaysia that they published by Aziz et al .(2015) doi:10.1016/j.jstrokecerebrovasdis.2015.07.025. <br> <br>A fuller discussion can be found here: http://wp.me/p6R8xa-Q<br>