Furthermore, SAE remains notably underdiagnosed and undertreated, and survivors often develop persistent long-term neurocognitive sequelae, including hippocampus-dependent memory impairment, psychiatric disorders and functional disability, which severely impact quality of life ( Oxidative stress is central to SAE pathogenesis, driven by an imbalance between excessive reactive oxygen species (ROS) production and impaired antioxidant defense systems (Yan et al., 2022)
DH supervised the study and revised the manuscript
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Notably, the PAG region receives no direct afferents from the striatum 44
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