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Additional information Competing interest The authors declare that they have no competing interests

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This extraordinary energy demand renders neurons particularly vulnerable to OS due to their high mitochondrial density with intense electron transport chain activity, enrichment of redox-active transition metals, and the relatively low endogenous antioxidant capacity compared with those of peripheral tissues [48]

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Accurate coding using D51 is crucial for appropriate diagnosis and treatment, ensuring that patients receive the necessary care and followup for this condition

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