%D 2023 %R doi:10.37897/RMJ.2023.4.5 %I Amaltea Medical Publishing House , Romania %L katalog9232 %N 4 %T METASTATIC SPINAL LYMPHOMA: A CASE REPORT %J Romanian Medical Journal %X Background. Metastatic spinal lymphoma is a rare case, especially with the initial clinical manifestation of back pain, which only occurs in less than 5% of patients. We report a case of an adult male with low back pain that was found to be metastatic spinal lymphoma, and this study is the first to report a case of metastatic spinal lymphoma with initial complaints of back pain. Case presentation. A 66-year-old male presented with progressive lower extremity weakness since 2 weeks. The initial complaint was back pain since 2 months before admission. The patient had no history of previous trauma, history of hypertension, diabetes, or heart disease was also denied. The patient admitted that there was a weight loss in the last 2-3 months Radiologic examination of the lumbar spinal MRI (magnetic resonance imaging) without contrast was performed and showed an impression of bone metastasis at the corpus VL (lumbar vertebrae) 1-5, and paraspinal musculospasm. Conclusion. We report rare case of metastatic spinal lymphoma, spinal lymphoma should be considered and monitored for non-specific clinical findings that resemble other possible causes. %A Rizaldy Taslim Pinzon %A Patrick Kurniawan Latumahina %K low back pain, non-Hodgkin's lymphoma, metastasis, spine, paraparesis %V 70