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Neurotransmission alterations Another pathogenic mechanism in HE associated with energy disturbances is the alteration in neurotransmission systems, such as the glutamatergic and GABA-ergic systems, resulting in neuronal disinhibition (mechanism described in Fig
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The role of evidence in the rise and fall of insulin coma therapy', History of Psychiatry , 33/1, 65-71
PubMed 10971106 Heffernan M
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