%0 Consensus Development Conference
%T Definition and diagnosis of small fiber neuropathy: consensus from the Peripheral Neuropathy Scientific Department of the Brazilian Academy of Neurology.
%A Gondim FAA
%A Barreira AA
%A Claudino R
%A Cruz MW
%A Cunha FMBD
%A Freitas MRG
%A França MC
%A Gonçalves MVM
%A Marques W
%A Nascimento OJM
%A Oliveira ASB
%A Pereira RC
%A Pupe C
%A Rotta FT
%A Schestatsky P
%J Arq Neuropsiquiatr
%V 76
%N 3
%D Mar 2018
%M 29809227
%F 2.035
%R 10.1590/0004-282x20180015
%X The aim of this study was to describe the results of a Brazilian Consensus on Small Fiber Neuropathy (SFN). Fifteen neurologists (members of the Brazilian Academy of Neurology) reviewed a preliminary draft. Eleven panelists got together in the city of Fortaleza to discuss and finish the text for the manuscript submission. Small fiber neuropathy can be defined as a subtype of neuropathy characterized by selective involvement of unmyelinated or thinly myelinated sensory fibers. Its clinical picture includes both negative and positive manifestations: sensory (pain/dysesthesias/pruritus) or combined sensory and autonomic complaints, associated with an almost entirely normal neurological examination. Standard electromyography is normal. A growing list of medical conditions is associated with SFN. The classification of SFN may also serve as a useful terminology to uncover minor discrepancies in the normal values from different neurophysiology laboratories. Several techniques may disclose sensory and/or autonomic impairment. Further studies are necessary to refine these techniques and develop specific therapies.