Which of the following is a direct sign that a hemorrhagic brain attack involves bleeding into brain tissue?

• A. Bleeding into brain tissue
• B. Blockage of arteries
• C. Demyelination
• D. Spinal cord compression

Answer: (A)

Hemorrhagic stroke is defined by bleeding into the brain tissue itself. When a blood vessel ruptures, blood leaks into the surrounding brain parenchyma, which is the direct evidence that the event is a bleed rather than a blockage or another process. This contrasts with ischemic stroke, where the problem is a blocked artery without intraparenchymal bleeding. Demyelination relates to loss of myelin around nerves and isn’t about bleeding, and spinal cord compression involves the spinal cord rather than brain tissue. In imaging, a hemorrhagic stroke is confirmed by the presence of blood within the brain, underscoring that bleeding into brain tissue is the direct sign.