It was reported that the patient had experienced heavy sweating and fatigability, disproportionate to the undertaken physical effort, which the patient began complaining of about 8 months after the operation.The overall compulsion intensity according to the y-bocs was 45% lower after 8 months and 35% lower after 18 months compared to before the surgery.Despite the predominant mood improvement in the patient over the 18 month follow-up period, there were also periods of deterioration which required modification of the previously applied pharmacotherapy.Greatest deterioration in the patient's condition occurred 12 months from surgery.(b)(4).This report reflects information received by fda in the form of a notification per 803.22 (b)(2).
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