Gerstmann Syndrome in a Patient With Aggressive Mucormycosis

A 60-year-old nondiabetic woman with atrial fibrillation presented with fever, night sweats, and right leg pain. Laboratory testing showed pancytopenia; venous duplex revealed a deep vein thrombosis of the right leg, prompting treatment with rivaroxaban. Bone marrow biopsy showed acute myeloid leukemia (AML). After starting induction chemotherapy with idarubicin and cytarabine, she developed left retro-orbital pain, otalgia, and diplopia. Clinical examination demonstrated left Horner syndrome, cranial nerve V1 and VI palsies, Gerstmann syndrome, and right upper extremity weakness