Objective: To report visual loss resulting from chiasmal involvement by pri
mary central nervous system lymphoma (PCNSL).
Materials and Methods: Case report.
Results: A patient with the acquired immune deficiency syndrome (AIDS) pres
ented with visual loss resulting front PCNSL involving the optic chiasm. Th
e clinical findings, neuroimaging, pathology, and treatment of this patient
are described.
Conclusions: Although rare, clinicians should consider PCNSL in the differe
ntial of a hypothalamic/chiasmal mass, especially in a patient with AIDS.