Top Left, Dr. Noel Perin Director, Minimally Invasive Spine and Neurosurgery Center,
Top Right, The Support Team from right counterclockwise) Heather Givans (RN), Debbi Mears, Max Vega and Sasha Villalona.

The Center For Minimally Invasive Spine and Neurosurgery

As the Director of "Minimally Invasive Spine Surgery", in the Department of Neurosurgery, at New York University, Langone medical center, Dr. Perin has developed a Minimally Invasive Spine Center, which provides many patients this treatment option, and has resulted in:
  • Reduced access related tissue trauma

  • Shorter hospital stay

  • Early return to activities

  • Smaller cosmetic incisions

Dr. Perin is a pioneer in developing closed, endoscopic surgical techniques for treatment of the spine and spinal cord,

  • 1) Spine Fractures & Injury to Peripheral nerves; with and without spinal cord injury- Cervical, Thoracic, Lumbar and Sacral fractures.
    Peripheral nerve injury; Injury to Brachial plexus, Sacral & Lumbar nerves

  • 2) Tumors of the spine, spinal cord and Peripheral Nerve tumors Spine tumors - Osteoid osteoma, Aneurysmal bone cyst, Eosinophilic granuloma,
    Chordoma, Multiple myeloma, Metastatic tumors (Breast, prostate, Lung, Renal)
    Spinal cord Tumors; Ependymoma, Astrocytoma, Cavernoma, Hemangioma
    Peripheral Nerve Tumors;
       a) Schwannoma & Neurofibroma in the spinal canal,
       b) Dumbbell tumors with tumors in the chest cavity & extending into the spinal canal
       c) Schwannomas arising from nerves in the Neck, Arms and Lower extremities

  • 3) Degenerative Disorders
    Disc herniations Cervical Disc & Osteophyte with nerve root and spinal cord compression (OPLL)
    Thoracic Disc herniation with spinal cord compression
    Lumbar Disc with nerve root compression
    Stenosis Cervical,
                      Lumbar with leg symptoms with walking
    Spondylolisthesis; Lumbar and Cervical

  • 4) Congenital & Developmental disorders;

    Chiari malformation,


    Spinal cord herniation

    Adult Tethered cord Syndrome

  • 5) Inflammatory disorders;

    Rheumatoid arthritis

  • 6) Treatment of Primary Hyperhidrosis -

    Thoracic Sympathectomy for Palmar Hyperhidrosis

    Lumbar Sympathectomy for Plantar hyperhidrosis

Dr. Perin is one of the few neurosurgeons in the world to perform endoscopic thoracic spinal surgery. This technique results in less post-operative pain and a faster recovery time for the patient. Dr. Perin is the author of the textbook "Thoracic Spine Surgery", which is used in medical schools around the world. Thoracoscopic spinal surgery is a minimally invasive surgery in the thoracic spine. Minimally invasive techniques reduce access related tissue trauma, resulting in less post-operative pain and reduced shoulder girdle disability (associated with the open thoracotomy). Since there is a shorter hospital stay and shorter post-operative recuperation, patients return to work and other day-day activities sooner.

Dr.Perin has a special interest in the diagnosis and treatment of Spinal cord tumors such as Ependymomas and Astrocytomas, as well as tumors of the peripheral nerves in the arms, legs and within the chest cavity (Schwannomas).

Dr.Perin is one of the original neurosurgeons to recognize the condition of "SPINAL CORD HERNIA" and treated several patients who had been previously misdiagnosed as having dorsal arachnoid cysts. Spinal cord herniation is a rare disorder where the spinal cord pushes out of a hole in the dura. At the time of our publication there were less than 50 case reports from around the world (J Neurosurg Spine 5294-302, 2006, Diagnosis and treatment of spinal cord herniation:a combined experience)

Dr. Perin is considered a leader in the treatment of Hyperhidrosis, and uses endoscopic techniques to transform the lives of patients who suffer with this problem. Dr. Perin has performed over 900 Thoracoscopic Sympathectomies with excellent outcomes, by being very selective we have been able to obtain better results for our surgical patients.

We also perform Lumbar sympathectomy for patients suffering with excessive sweating of the feet (Plantar Hyperhidrosis). We have developed a unique approach using a single one inch incision over either flank to perform the surgery.

Dr. Perin is a member of the American Association of Neurological Surgeons and the Congress of Neurological Surgeons, where he served on their spine section scientific and credentialing committees, he is also a member of "World Neurosurgery" and the International Society of Sympathetic surgery. He was formerly an Associate Professor of Neurosurgery and Director of Spinal Surgery at the Mount Sinai School of Medicine.

NYU Medical Center located on the East side of Mahattan on 1st Avenue between 30th & 34th streets and offers a comprehensive clinical program for the diagnosis and treatment of disorders of the spine and spinal cord. Complex problems involving the occipito-cervical junction, Cervical, Thoracic and Lumbar spine including the sacrum and coccyx.

Dr. Perin specializes in all aspects of spinal surgery including surgery for tumors to spinal instrumentation and Fusion techniques up and down the spine.

To arrange a patient consultation, contact:

Main Office
NYU Langone Medical Center
Department of Neurosurgery
530 First Avenue, Suite 8S
New York, NY 10016
Phone: (212) 263-5732
Fax: (212) 263-5328
Email: Noel.Perin@nyumc.org

West Side Office
NYU The Miller Practice
355 West 52nd Street, 7th Floor
New York, NY 10019
Phone: (212) 263-5732



©2006 NYNI - Last Modified: March 7, 2012 - Website and Animation design by Answers Design Group