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In contrast to poisoning with phenytoin or carbamazepine, nystagmus, dysarthria and ataxia are rarely noted following VPA overdose

10.1093/advances/nmab127 62 TanS.LiuQ.YangJ.CaiJ.YuM.JiY.et al (2022)

Guzik TJ, Chen W, Gongora MC, Guzik B, Lob HE, Mangalat D, Hoch N, Dikalov S, Rudzinski P, Kapelak B, Sadowski J, Harrison DG (2008) Calcium-dependent NOX5 nicotinamide adenine dinucleotide phosphate oxidase contributes to vascular oxidative stress in human coronary artery disease