Out on PubMed today is this case report, useful for practitioners:

Safe and Successful Treatment of Depression with Electroconvulsive Therapy in a Patient with Implanted Spinal Cord Stimulators. Chen L, Peterson E, Wong G, Hui R, Fitzgerald PB.
Brain Stimul. 2020 Apr 9. pii: S1935-861X(20)30083-8. doi: 10.1016/j.brs.2020.04.004. [Epub ahead of print] No abstract available.
PMID: 32278713

The pdf is here.

It is helpful to have reports such as this of the safe administration of ECT in patients with implanted spinal cord stimulators. This patient had both cervical and lumbar stimulators. While there is no serious reason to believe that such stimulators would pose a risk during ECT, it is reassuring to have actual clinical data of safe and effective ECT in this circumstance.
This leads to a larger discussion of the use of ECT for depression in the context of chronic pain, and for the use of ECT to target chronic pain itself, for which there is some encouraging literature.

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