DISCUSSION
cancer, nausea, seizures
CANCER, RARE HEADACHE
This is a case report of a patient with mBC whose BM were detected early as a result of her participation in a supervised exercise program. For this to happen, three aspects were crucial: (i) the close monitoring of the patient by an experienced exercise trainer, (ii) the established communication pathways between the trainer and the medical team, and (iii) the trust in the trainer and hence rapid action by the clinician.Although the prognosis of BM is currently considered poor, knowledge about cancer dissemination to the brain, prevention and treatments is evolving significantly (Current guidelines do not recommend MRI screening of the brain unless symptoms are present. The most common symptoms resulting from BM are headache (35%) vomiting (26%), nausea (23%), hemiparesis (22%), visual changes (13%) seizures (12%) (The benefits of physical exercise in cancer patients have been widely corroborated by the literature (To conclude, our case report supports the advantages of implementing physical exercise programs that are supervised by qualified professionals as part of routine cancer care for patients in need. This may not only lead to physical and psychological improvements but may also contribute to better patient outcomes through follow-up. We recommend close collaboration between the medical team and exercise professionals because of their unique positioning and skill set to detect subtle deteriorations in health early.