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Small Fiber and Autonomic Neurology Program

Our team provides comprehensive evaluation, consultation, and management for patients with disorders of the autonomic and peripheral nervous systems, including central disorders and small fiber and autonomic neuropathies.

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Specialty expertise in autonomic neurology

The autonomic nervous system (ANS) regulates body processes not typically under conscious control, such as digestion, temperature regulation, and reflexes. Disorders of the ANS, also known as dysautonomias, can be difficult to diagnose and manage without specialized expertise.

Autonomic neurologists at the Mass General Brigham Neuroscience Institute have the expertise to accurately diagnose ANS disorders and develop treatment plans tailored to each patient. Our team also has subspecialty expertise in diagnosing and treating of painful small fiber neuropathies.

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Part of the Neuroscience Institute

Learn more about Mass General Brigham's Neuroscience Institute

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Our approach to care

From diagnosis through treatment, our experts help you understand your ANS disorder, related conditions, and how to manage symptoms effectively.
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Subspecialists dedicated to ANS care

Autonomic disorders affect multiple body systems, and many patients see physicians across several specialties before receiving a diagnosis.

Mass General Brigham’s autonomic neurologists are subspecialists devoted to the diagnosis and treatment of disorders of the ANS. Working closely with specialists across the system, we provide accurate diagnosis and treatment personalized to you.

Comprehensive diagnosis and treatment

Our autonomic neurologists offer a range of diagnostic services, which may include:

  • Quantitative screening tests
  • Skin biopsies
  • Autonomic reflex testing

Specific tests you receive will depend on your symptoms and condition. After evaluation, your neurologist works with your care team to develop a personalized treatment plan.

Multidisciplinary, collaborative care

Our specialized clinicians work closely with colleagues across Mass General Brigham, including experts in:

  • Urology
  • Cardiology
  • Psychiatry
  • Endocrinology
  • Gastroenterology

Together, we provide comprehensive care for patients with disorders of the autonomic nervous system and related small nerve fiber conditions.

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Our approach
Autonomic disorders can affect multiple body systems. Your care team develops a treatment plan based on your specific condition and needs to help manage symptoms and improve daily function.
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Conditions and treatments

Our neuroscience specialists

Your care is coordinated by a team of specialists in neurology, neurosurgery, advanced brain imaging, and nursing. Depending on your condition, your care team may also include experts in neuropsychology, rehabilitation, genetics, social work, and mental health. This team works together to understand your neurological condition from every angle and develop a care plan tailored to you.
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Specialists
Our autonomic neurologists in the Small Fiber and Autonomic Neurology Program collaborate closely with other programs to provide you with the care you need.
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Services and programs

Neuroscience clinical trials and research

Our research is shaping the future of neuroscience care. We offer access to clinical trials and emerging therapies, including treatments that may not yet be widely available. Eligibility depends on a person’s diagnosis, treatment history, and more. Explore our research and clinical trials or talk with your care team to learn about available options.
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Explore our neuroscience research

Learn how neuroscience research informs patient care

https://research.massgeneralbrigham.org/en/institutes-centers/neuroscience-institute
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Search clinical trials

Search open clinical trials for neurological conditions

https://rally.massgeneralbrigham.org/
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Research

Explore articles featuring expert insights on neuroscience, patient experiences, and tips for managing a neurological diagnosis.

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Contact the Small Fiber and Autonomic Neurology Program

Call us to speak with a team member who can help you understand your options and guide you to the care that is right for you. With locations throughout New England and support for patients traveling from outside the United States, we make it easier to access coordinated, expert care.
Phone

Massachusetts General Hospital
617-726-3644

Brigham and Women's Faulkner Hospital
617-983-7160

Wentworth-Douglass Hospital
603-749-0913

International
International Patient Services
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Contact