I grew up in the heart of the Silicon Valley, trained in Chicago, and have practiced general Neurosurgery in the Las Vegas area for more than twenty years. Currently I primarily treat non-complex cervical and lumbar spine problems, brain and spine tumors. I have special interests in initial concussion recognition and management, and injuries of performing athletes.

Clinical Focus

  • Neurological Surgery

Academic Appointments

Administrative Appointments

  • Medical Director, St. Rose/Stanford Neurosurgery Clinic (2011 - Present)

Honors & Awards

  • President's Medallion, Loyola University Chicago (1985)
  • 2010 Outstanding Volunteer Fundraiser, The Association of Fundraising Professionals (2010)
  • America?s Top Surgeons Award, Consumers Research Council (2009-2013)
  • Patient's Choice Award, MDx Medical (2010-2015)
  • Most Compassionate Doctor Award, Patients' Choice Recognition Program (2010-2015)
  • Talk of the Town Customer satisfaction Award, Five Star rating, CMUS Power Ratings (2012-2015)
  • On-Time Doctor Award - recognized for having the shortest wait time, (2014-2015)
  • 2015 Physician Humankindness Award, Dignity Health (2015)
  • Listed in America's Top Doctors, Castle Connolly (2015)

Boards, Advisory Committees, Professional Organizations

  • Advisory Board Member, Children's Miracle Network Hospitals Southern Nevada Region (2005 - Present)
  • Executive Board Member, Dignity Health/St. Rose Dominican Hospitals (2005 - Present)
  • Member, American Board of Neurological Surgery (1999 - Present)
  • Member, American Association of Neurological Surgeons (1991 - Present)
  • Member, Nevada State Medical Society (1992 - Present)
  • Member, Clark County Medical Society (1992 - Present)
  • Member, Alpha Omega Alpha Medical Honor Society (1985 - Present)
  • Member, Alpha Sigma Nu Jesuit Honor Society (1985 - Present)

Professional Education

  • Residency:Loyola University Stritch School of Medicine (1991) IL
  • Internship:Loyola University Stritch School of Medicine (1986) IL
  • Medical Education:Loyola University Stritch School of Medicine (1985) IL
  • Board Certification: Neurological Surgery, American Board of Neurological Surgery (1999)
  • Fellowship:University of California San Francisco (1989) CA

Community and International Work

  • Leonberger Dog Rescue, Las Vegas, Nevada

    Populations Served

    Las Vegas Nevada area

    Ongoing Project


    Opportunities for Student Involvement


  • Stop DUI Nevada, Las Vegas, Nevada

    Ongoing Project


    Opportunities for Student Involvement



2019-20 Courses


All Publications

  • Whole-spine dynamic magnetic resonance study of contortionists: anatomy and pathology JOURNAL OF NEUROSURGERY-SPINE Peoples, R. R., Perkins, T. G., Powell, J. W., Hanson, E. H., Snyder, T. H., Mueller, T. L., Orrison, W. W. 2008; 8 (6): 501-509


    Whole-spine magnetic resonance (MR) images were obtained using a cylindrical 3-T MR imaging system in 5 contortionists to assess the pathological changes possibly associated with the practice of contortion. Whole-spine dynamic MR images were obtained using a 1-T open MR imaging system in 2 of these contortionists with the purpose of defining the range of motion (ROM) achieved during extreme contortion. The range of spinal motion in this unique population was then quantified.The study included 5 female contortionists 20-49 years of age. Imaging was performed using open 1-T and cylindrical 3-T high-field MR imaging systems. Data were viewed and analyzed with DICOM-compliant tools. Real-time, dynamic, and standard MR imaging allowed for quantification of the contortionists' ROM.There was a difference of 238 degrees between full spinal extension and full flexion. Three of the 5 contortionists had 4 anterosuperior limbus vertebrae at T-11 and the upper lumbar levels.Whole-spine dynamic MR imaging is a valuable tool for the evaluation of the extreme ROM in contortionists, allowing for the quantification of extreme mobility. The limbus fractures present in 3 of the 5 contortionists is postulated to be due to avulsion on hyperextension. Future research may open the use of whole-spine dynamic MR imaging into such areas as pain management and traumatic spinal injuries.

    View details for DOI 10.3171/SPI/2008/8/6/501

    View details for Web of Science ID 000256244100001

    View details for PubMedID 18518669

  • Preoperative therapeutic neuroscience education for lumbar radiculopathy: a single-case fMRI report. Physiotherapy theory and practice Louw, A., Puentedura, E. J., Diener, I., Peoples, R. R. 2015; 31 (7): 496?508


    Therapeutic neuroscience education (TNE) has been shown to be effective in the treatment of mainly chronic musculoskeletal pain conditions. This case study aims to describe the changes in brain activation on functional magnetic resonance imaging (fMRI) scanning, before and after the application of a newly-designed preoperative TNE program. A 30-year-old female with a current acute episode of low back pain (LBP) and radiculopathy participated in a single preoperative TNE session. She completed pre- and post-education measures including visual analog scale (VAS) for LBP and leg pain; Oswestry Disability Index (ODI); Fear Avoidance Beliefs Questionnaire (FABQ); Pain Catastrophizing Scale (PCS) and a series of Likert-scale questions regarding beliefs and attitudes to lumbar surgery (LS). After a 30-minute TNE session, ODI decreased by 10%, PCS decreased by 10 points and her beliefs and attitudes shifted positively regarding LS. Immediately following TNE straight leg raise increased by 7 and forward flexion by 8?cm. fMRI testing following TNE revealed 3 marked differences compared to pre-education scanning: (1) deactivation of the periaqueductal gray area; (2) deactivation of the cerebellum; and (3) increased activation of the motor cortex. The immediate positive fMRI, psychometric and physical movement changes may indicate a cortical mechanism of TNE for patients scheduled for LS.

    View details for PubMedID 26395827

  • Sagittal whole-spine magnetic resonance imaging in 750 consecutive outpatients: accurate determination of the number of lumbar vertebral bodies Clinical article JOURNAL OF NEUROSURGERY-SPINE Hanson, E. H., Mishra, R. K., Chang, D. S., Perkins, T. G., Bonifield, D. R., Tandy, R. D., Cartwright, P. E., Peoples, R. R., Orrison, W. W. 2010; 12 (1): 47-55


    When the number of lumbar and sacral vertebrae is being assessed, variations from typical lumbosacral anatomy may confuse the practitioner, potentially leading to significant clinical errors. In this study, the authors describe the statistical variation in lumbar spine anatomy in an outpatient imaging setting, evaluate the potential implications for clinical practice based on the variation in the number of lumbar-type vertebrae identified, and recommend a method for rapidly determining the number of lumbar spine vertebral bodies (VBs) in outpatients referred for lumbar spine MR imaging.A total of 762 patients (male and female) who presented with low back-related medical conditions underwent whole-spine MR imaging in an outpatient setting.The high-speed whole-spine evaluation was successful for determining the number of lumbar-type VBs in 750 (98%) of 762 consecutive patients. The sagittal whole-spine 3-T MR imaging system images obtained between the beginning of January 2005 and the end of February 2007 were reviewed. The VBs were counted successively from the level of C-2 inferiorly to the intervertebral disc below the most inferior lumbar-type VB. Numbers of disc herniations were also evaluated in the context of the number of VBs.One in 5 of these outpatients did not have 5 lumbar-type vertebrae: 14.5% had 6; 5.3% had 4; and 1 (0.13%) had the rare finding of 3 lumbar-type vertebrae. Two-thirds of the individuals with 6 lumbar-type vertebrae were male and two-thirds of the individuals with 4 lumbar-type vertebrae were female. Sagittal whole-spine MR imaging can be performed rapidly and efficiently in the majority of patients (98%), and provides improved accuracy for the determination of the number of lumbar-type VBs. A supplementary coronal MR, Ferguson view radiograph or intraoperative fluoroscopic determination for the presence of lumbosacral transitional vertebrae may add additional information when indicated for clinical treatment or surgical planning.

    View details for DOI 10.3171/2009.7.SPINE09326

    View details for Web of Science ID 000273015600011

    View details for PubMedID 20043764

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