"fencing sign" with traumatic brain injury (TBI) is an involuntary and unnatural arm posture that occurs immediately after a head impact. It is characterized by one arm extending forward while the other flexes upward, resembling a fencer's "en garde" stance. This "fencing response" is a sign that the brainstem has been affected and is often used as a visible indicator of a concussion or TBI. | PainAtlanta.Com
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