PMC3735335_01
(A) Sagittal T2-weighted axial images showing a patchy diffuse area of hyperintensity from C3 to T5. (B) Sagittal T1-weighted image obtained after intravenous administration of gadolinium showing minimal enhancement.
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T2 weighted axial images on spinal magnetic resonance imaging revealed a patchy diffuse area of hyperintensity extending from C3 to T5, so the patient was diagnosed with transverse myelitis (Figure 1).
Intrathecal morphine pump implanted subcutaneously with tube insertion into the dural sac through the L3-4 space.
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Her pain was relieved immediately during a preimplantation trial, so an intrathecal pump (Figure 2) was implanted and set to deliver a morphine dosage of 1.3 mL (3.25 mg) per hour during the day and 1.0 mL (2.5 mg) per hour at night.