<prompt> The most common physical sign of cerebral metastasisEpilepsyFocal neurological deficitPapilloedemaVisual defects  <response>: in brain metastases,presentation is with headaches40-50,focal neurological deficit20-40,coognitive dysfunction35,seizures10-20 and papilledema10. A focal neurologic deficit is a problem with nerve, spinal cord, or brain function. It affects a specific location, such as the left side of the face, right arm, or even a small area such as the tongue. Speech, vision, and hearing problems are also considered focal neurological deficits Ref Harrison20th edition pg 2764 