Primary central nervous system lymphoma involving the optic chiasm in AIDS.
OBJECTIVE
To report visual loss resulting from chiasmal involvement by primary central nervous system lymphoma (PCNSL).


METHODS
Case report.


RESULTS
A patient with the acquired immune deficiency syndrome (AIDS) presented with visual loss resulting from PCNSL involving the optic chiasm. The clinical findings, neuroimaging, pathology, and treatment of this patient are described.


CONCLUSIONS
Although rare, clinicians should consider PCNSL in the differential of a hypothalamic/chiasmal mass, especially in a patient with AIDS.
Lee
A G
AG
Department of Ophthalmology, The University of Iowa Hospitals and Clinics, Iowa City 52242, USA. andrew-lee@uiowa.edu
Tang
R A
RA
Roberts
D
D
Schiffman
J S
JS
Osborne
A
A
D000328:Adult; D016543:Central Nervous System Neoplasms / Q000473:pathology* / Q000628:therapy; D003131:Combined Modality Therapy; D006801:Humans; D016483:Lymphoma, AIDS-Related / Q000473:pathology* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D009897:Optic Chiasm / Q000187:drug effects / Q000473:pathology* / Q000528:radiation effects; D019574:Optic Nerve Neoplasms / Q000473:pathology* / Q000628:therapy