Neurochirurgie

Prof. Dr. med. Alex Alfieri

Chefarzt Klinik für Neurochirurgie
Facharzt für Neurochirurgie

Berufserfahrung
2017 –
heute
Chefarzt. Klinik für Neurochirurgie, Kantonsspital Winterthur. Universitätsprofessor für Neurochirurgie mit Fachverantwortung für das Fach Neurochirurgie an der Medizinischen Hochschule Brandenburg Theodor Fonane.
2013 –
2017
Chefarzt und Universitätsprofessor. Klinik für Neurochirurgie und Wirbelsäulenchirurgie, Ruppiner Kliniken GmbH, Neuruppin; Deutschland. Hochschulklinikum der Medizinischen Hochschule Brandenburg. Stellvertretender Vorsitzender des Prüfungsausschussesfür die Erlangung des Facharzttitels für Neurochirurgie der Landesärztekammer Brandenburg (Deutschland)
2008 –
2013
Geschäftsführender Oberarzt Klinik und Poliklinik für Neurochirurgie, Martin-Luther Universität Halle-Wittenberg, Halle, Deutschland.
2006 –
2008
Oberarzt. Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Inselspital, Bern, Schweiz.
2000 –
2006
Ärztlicher Leiter, Abteilung für Neurochirurgie, Regionales Krankenhaus Bozen, Südtirol, Italien.
1996 –
2000
Assistenzarzt, Neurochirurgische Klinik des Universitätsklinikums Verona, Italien.
Ausbildung, Weiterbildung und akademische Laufbahn
2014Berufung zum Ordentlichen Universitätsprofessor (W3) der Medizinischen Hochschule Brandenburg Theodor Fontane, Deutschland.
2012Habilitation und Venia Legendi für das Fachgebiet „Neurochirurgie“ an der Martin-Luther-Universität Halle-Wittenberg, Deutschland
2003Senior Clinical Fellowhip Department of Neurosurgical Surgery, University of Virginia, Charlottesville, VA, USA. Fachbereich: Hypophysenadenome (Mentor: Prof. E. Laws, Chairman: Prof. J. Jane Sr.).
2001Facharzt für Neurochirurgie
1996Promotion
Spezialisierung
  • Mikrochirurgische und minimalinvasive Hirntumorchirurgie
  • Komplexe Wirbelsäulenchirurgie
  • Neuroendoskopie
  • Neurochirurgische Behandlung Schädel – und Wirbelsäulenhirnverletzungen
  • Mikrochirurgie von Hirngefäßmissbildungen und Aneurysmata
  • Kinderneurochirurgie
  • Hypophysenchirurgie
Zusatzqualifikationen
2017Endoskopische spinale Chirurgie
20155-ALA Fluoreszenz-Zertifikat für Gliome
2013Fachkunde im Strahlenschutz
2008Transfusionsbeauftragter
2006Intensivmedizin
2006International Fellow oft he American Association of Neurological Surgeons (IFAANS)
2005Fellow of the European Board of Neurological Surgery (FEBNS)
Mitgliedschaften
  • Verbindung Schweizer Ärztinnen und Ärzte (FMH)
  • European Association of Neurological Surgeons (EANS)
  • Deutsche Gesellschaft für Neurochirurgie (DGNC)
  • American Association of Neurological Surgeons (AANS)
  • European Association of Neurooncology (EANO)
  • Congress of Neurological Surgeons (CNS)
  • World Federation of Neurosurgical Societies (WFNS)
  • Deutscher Hochschulverband
  • Neurocritical Care Society (NCS)
  • Pediatric Section AANS/CNS
  • Cerebrovascular Section AANS/CNS
  • Gesellschaft für Schädelbasischirurgie (GSB)
  • International Society of Pituitary Surgeons (ISPS)
  • Societá Italiana di Neurochirurgia (SINCH)
  • AO Spine International
  • Prüfungsausschuss Fakultät Medizin der Medizinischen
  • Hochschule Brandenburg
  1. Gazzeri R, Galarza M, Alfieri A.
    Response to: Comment on „Controversies about Interspinous Process Devices in the Treatment of Degenerative Lumbar Spine Diseases: Past, Present, and Future“.
    Biomed Res Int. 2017;2017:1504316.
  2. Gazzeri R, Galarza M, Callovini G, Alfieri A.
    Biosurgical Hemostatic Agents in Neurosurgical Intracranial Procedures.
    Surg Technol Int. 2017 Feb 7;30:468-476.
  3. Zanotti B, Zingaretti N, Verlicchi A, Robiony M, Alfieri A, Parodi PC.
    Cranioplasty: Review of Materials.
    J Craniofac Surg. 2016 Nov;27(8):2061-2072.
  4. Alfieri A, Török L.
    Editorial: Peculiarities of unruptured internal carotid artery bifurcation aneurysms.
    Acta Neurochir (Wien). 2016 Nov;158(11):2061-2062.
  5. Zanotti B, Zingaretti N, Verlicchi A, Robiony M, Alfieri A, Parodi PC.
    Cranioplasty: Review of Materials.
    J Craniofac Surg.
  6. Gazzeri R, Galarza M, Neroni M, Fiore C, Faiola A, Puzzilli F, Callovini G, Alfieri A.
    Failure rates and complications of interspinous process decompression devices: a European multicenter study.
    Neurosurg Focus. 2015 Oct;39(4):E14.
  7. Prell J, Strauss C, Rachinger J, Scheller C, Alfieri A, Herfurth K, Rampp S.
    The intermedius nerve as a confounding variable for monitoring of the free-running electromyogram.
    Clin Neurophysiol. 2015 Sep;126(9):1833-9
  8. Gazzeri R, Galarza M, Fiore C, Callovini G, Alfieri A.
    Use of tissue-glue-coated collagen sponge (TachoSil) to repair minor cerebral dural venous sinus lacerations: technical note.
    Neurosurgery. 2015 Mar;11 Suppl 2:32-6;
  9. Hoza D, Vlasák A, Hořínek D, Sameš M, Alfieri A.
    DTI-MRI biomarkers in the search for normal pressure hydrocephalus aetiology: a review.
    Neurosurg Rev. 2015 Apr;38(2):239-44;
  10. Puzzilli F, Gazzeri R, Galarza M, Neroni M, Panagiotopoulos K, Bolognini A, Callovini G, Agrillo U, Alfieri A.
    Interspinous spacer decompression (X-STOP) for lumbar spinal stenosis and degenerative disk disease: a multicenter study with a minimum 3-year follow-up.
    Clin Neurol Neurosurg. 2014 Sep;124:166-74
  11. Gazzeri R, Galarza M, Alfieri A.
    Controversies about interspinous process devices in the treatment of degenerative lumbar spine diseases: past, present, and future.
    Biomed Res Int. 2014;2014:975052
  12. Alfieri A, Strauss C.
    Anterior skull base traumas and their management.
    J Neurol Surg B Skull Base. 2013 Jun;74(3):185-6
  13. Tacik P, Krasnianski M, Alfieri A, Dressler D.
    Brissaud-Sicard syndrome caused by a diffuse brainstem glioma. A rare differential diagnosis of hemifacial spasm.
    Acta Neurochir (Wien). 2014 Feb;156(2):429-30.
  14. Alfieri A, Rampp S, Strauss C, Fleischhammer J, Rachinger J, Scheller C, Prell J.
    The relationship between nervus intermedius anatomy, ultrastructure, electrophysiology, and clinical function. Usefulness in cerebellopontine microsurgery.
    Acta Neurochir (Wien). 2014 Feb;156(2):403-8.
  15. Prell J, Strauss C, Rachinger J, Alfieri A, Scheller C, Herfurth K, Rampp S.
    Facial nerve palsy after vestibular schwannoma surgery: dynamic risk-stratification based on continuous EMG-monitoring.
    Clin Neurophysiol. 2014 Feb;125(2):415-21
  16. Scheller C, Rachinger J, Strauss C, Alfieri A, Prell J, Koman G.
    Therapeutic anticoagulation after craniotomies: is the risk for secondary hemorrhage overestimated?
    J Neurol Surg A Cent Eur Neurosurg. 2014 Jan;75(1):2-6
  17. Prell J, Rachinger J, Smaczny R, Taute BM, Rampp S, Illert J, Koman G, Marquart C, Rachinger A, Simmermacher S, Alfieri A, Scheller C, Strauss C.
    D-dimer plasma level: a reliable marker for venous thromboembolism after elective craniotomy.
    J Neurosurg. 2013 Nov;119(5):1340-6
  18. Galarza M, Gazzeri R, Alfieri A, Martínez-Lage JF.
    „Triple R“ tonsillar technique for the management of adult Chiari I malformation: surgical note.
    Acta Neurochir (Wien). 2013 Jul;155(7):1195-201
  19. Galarza M, Gazzeri R, Barceló C, Mantese B, Arráez C, Alfieri A, Cavazzana M, Gandini R, Porcar OP, Martínez-Lage JF.
    Accidental head trauma during care activities in the first year of life: a neurosurgical comparative study.
    Childs Nerv Syst. 2013 Jun;29(6):973-8
  20. Alfieri A.
    Comments on: Let’X-STOP with any „distraction“ from the true problem: scenarios in which minimally invasive surgery is not welcome!
    Neurosurg Rev. 2013 Apr;36(2):335.
  21. Surov A, Gottschling S, Bolz J, Kornhuber M, Alfieri A, Holzhausen HJ, Abbas J, Kösling S.
    Distant metastases in meningioma: an underestimated problem.
    J Neurooncol. 2013 May;112(3):323-7.
  22. Alfieri A, Pinna G.
    Long-term results after posterior fossa decompression in syringomyelia with adult Chiari Type I malformation.
    J Neurosurg Spine. 2012 Nov;17(5):381-7.
  23. Gazzeri R, Galarza M, Alfier A.
    Safety biocompatibility of gelatin hemostatic matrix (Floseal and Surgiflo) in neurosurgical procedures.
    Surg Technol Int. 2012 Dec;22:49-54
  24. Marquart C, Strauss C, Alfieri A.
    Eight-and-a-half syndrome combined with an ipsilateral vertical gaze palsy: a pathophysiological explanation.
    Clin Neurol Neurosurg. 2013 Jun;115(6):767-9
  25. Koman G, Alfieri A, Rachingter J, Strauss C, Scheller C.
    Erectile dysfunction as rare side effect in the simultaneous intrathecal application of morphine and clonidine.
    Pain Physician. 2012 Jul-Aug;15(4):E523-6
  26. Tacik P, Alfieri A, Funke AD, Stock K, Kornhuber M.
    Paradoxical activity of the masseter muscles due to upper motoneuron involvement. Clin Neurol Neurosurg.
    2013 Apr;115(4):484-6
  27. Rampp S, Rachinger J, Scheller C, Alfieri A, Strauss C, Prell J.
    How many electromyography channels do we need for facial nerve monitoring?
    J Clin Neurophysiol. 2012 Jun;29(3):226-9.
  28. Alfieri A, Fleischhammer J, Peschke E, Strauss C.
    The nervus intermedius as a variable landmark and critical structure in cerebellopontine angle surgery: an anatomical study and classification.
    Acta Neurochir (Wien). 2012 Jul;154(7):1263-8.
  29. Alfieri A, Gazzeri R, Prell J, Scheller C, Rachinger J, Strauss C, Schwarz A.
    Role of lumbar interspinous distraction on the neural elements. Neurosurg Rev.
    2012 Oct;35(4):477-84; discussion 484.
  30. Alfieri A, Strauss C, Meller H, Stoll-Tucker B, Tacik P, Brandt S.
    The woman  of Pritschoena: an example of the German neolithic neurosurgery in Saxony-Anhalt.
    J Hist Neurosci. 2012;21(2):139-46.
  31. Tacik P, Alfieri A, Kornhuber M, Dressler D.
    Gasperini’s syndrome: its neuroanatomical basis now and then.
    J Hist Neurosci. 2012 Jan;21(1):17-30. doi: 10.1080/0964704X.2011.568045
  32. Alfieri A, Fleischhammer J, Strauss C, Peschke E.
    The central myelin-peripheral myelin transitional zone of the nervus intermedius and its implications for microsurgery in the cerebellopontine angle.
    Clin Anat. 2012 Oct;25(7):882-8.
  33. Prell J, Rampp S, Ache J, Laule S, Rachinger J, Scheller C, Alfieri A, Strauss C.
    The potential of quantified lower cranial nerve EMG for monitoring of anesthetic depth.
    J Neurosurg Anesthesiol. 2012 Apr;24(2):139-45.
  34. Alfieri A, Gazzeri R, Pircher M, Unterhuber V, Schwarz A.
    A prospective long-term study of return to work after nontraumatic nonaneurysmal subarachnoid hemorrhage.
    J Clin Neurosci. 2011 Nov;18(11):1478-80.
  35. Alfieri A, Strauss C.
    Familial occipital neuralgia with sporadic nervus intermedius neuralgia (NIN).
    J Headache Pain. 2011 Dec;12(6):657
  36. Gazzeri R, Galarza M, Alfieri A, Neroni M, Roperto R.
    Simple intraoperative technique for minor dural gap repair using fibrin glue and oxidized cellulose.
    World Neurosurg. 2011 Jul-Aug;76(1-2):173-5.
  37. Rachinger J, Rampp S, Prell J, Scheller C, Alfieri A, Strauss C.
    Tumor origin and hearing preservation in vestibular schwannoma surgery.
    J Neurosurg. 2011 Nov;115(5):900-5.
  38. Gazzeri R, Galarza M, Alfieri A, Fiore C.
    Acute diffuse pneumocephalus resulting from chronic intranasal cocaine abuse. Acta Neurochir (Wien).
    2011 Oct;153(10):2101-2.
  39. Alfieri A, Gazzeri R, Neroni M, Fiore C, Galarza M, Esposito S.
    Anterior expandable cylindrical cage reconstruction after cervical spinal metastasis resection.
    Clin Neurol Neurosurg. 2011 Dec;113(10):914-7
  40. Haenggi M, Andermatt A, Anthamatten C, Galimanis A, Mono ML, Alfieri A, Fung C, Takala J, Jakob SM.
    CO(2)-Dependent vasomotor reactivity of cerebral arteries in patients with severe traumatic brain injury: time course and effect of augmentation of cardiac output with dobutamine.
    J Neurotrauma. 2012 Jun 10;29(9):1779-84.
  41. Prell J, Scheller C, Alfieri A, Rampp S, Rachinger J.
    Midline-craniotomy of the posterior fossa with attached bone flap: experiences in paediatric and adult patients.
    Acta Neurochir (Wien). 2011 Mar;153(3):541-5.
  42. Alfieri A, Campello M, Broger M, Vitale M, Schwarz A.
    Low-back pain as the presenting sign in a patient with a giant, sacral cellular schwannoma: 10-year follow-up.
    J Neurosurg Spine. 2011 Feb;14(2):167-71.
  43. Alfieri A, Reinert M.
    Glue-enhanced excimer laser-assisted nonocclusive anastomosis: a laboratory investigation.
    Eur Surg Res. 2011;46(1):32-7
  44. Alfieri A, Gazzeri R, Galarza M, Neroni M.
    Surgical treatment of intracranial Erdheim-Chester disease.
    J Clin Neurosci. 2010 Dec;17(12):1489-92.
  45. Gazzeri R, Galarza M, Neroni M, Alfieri A, Giordano M.
    Hemostatic matrix sealant in neurosurgery: a clinical and imaging study.
    Acta Neurochir (Wien). 2011 Jan;153(1):148-54; discussion 155.
  46. Prell J, Rampp S, Rachinger J, Scheller C, Alfieri A, Marquardt L, Strauss C, Bau V.
    Botulinum toxin for temporary corneal protection after surgery for vestibular schwannoma.
    J Neurosurg. 2011 Feb;114(2):426-31
  47. Alfieri A, Strauss C, Prell J, Peschke E.
    History of the nervus intermedius of Wrisberg.
    Ann Anat. 2010 May 20;192(3):139-44.
  48. Prell J, Rachinger J, Scheller C, Alfieri A, Strauss C, Rampp S.
    A real-time monitoring system for the facial nerve.
    Neurosurgery. 2010 Jun;66(6):1064-73; discussion 1073.
  49. Gazzeri R, Neroni M, Alfieri A, Galarza M, Faiola A, Esposito S, Giordano M.
    Transparent equine collagen biomatrix as dural repair. A prospective clinical study.
    Acta Neurochir (Wien). 2009 May;151(5):537-43
  50. Gazzeri R, Galarza M, Neroni M, Alfieri A, Esposito S.
    Minimal craniotomy and matrix hemostatic sealant for the treatment of spontaneous supratentorial intracerebral hemorrhage.
    J Neurosurg. 2009 May;110(5):939-42.
  51. Alfieri A, Unterhuber V, Pircher M, Schwarz A, Gazzeri R, Reinert M, Widmer
    Psychosocial and neurocognitive performance after spontaneous nonaneurysmal subarachnoid hemorrhage related to the APOE-epsilon4 genotype: a prospective 5-year follow-up study.
    J Neurosurg. 2008 Dec;109(6):1019-26
  52. Bregy A, Alfieri A, Demertzis S, Mordasini P, Jetzer AK, Kuhlen D, Schaffner T, Dacey R, Steiger HJ, Reinert M.
    Automated end-to-side anastomosis to the middle cerebral artery: a feasibility study.
    J Neurosurg. 2008 Mar;108(3):567-74.
  53. Neroni M, Gazzeri R, Galarza M, Alfieri A.
    Intradural cervical disc herniation in a Klippel-Feil patient.
    Spine (Phila Pa 1976). 2007 Oct 1;32(21):E608-10..
  54. Gazzeri R, Galarza M, Neroni M, Esposito S, Alfieri A.
    Fulminating septicemia secondary to oxygen-ozone therapy for lumbar disc herniation: case report.
    Spine (Phila Pa 1976). 2007 Feb 1;32(3):E121-3.
  55. Constantinescu MA, Alfieri A, Mihalache G, Stuker F, Ducray A, Seiler RW, Frenz M, Reinert M.
    Effect of laser soldering irradiation on covalent bonds of pure collagen.
    Lasers Med Sci. 2007 Mar;22(1):10-4.
  56. Compagnone C, Murray GD, Teasdale GM, Maas AI, Esposito D, Princi P.D’AvellaD, Servadei F; European Brain Injury Consortium.
    The management of patients with  intradural post-traumatic mass lesions: a multicenter survey of current approaches to surgical management in 729 patients coordinated by the European Brain Injury Consortium.
    Neurosurgery. 2005 Dec;57(6):1183-92
  57. Alfieri A, Mazzoleni G, Schwarz A, Campello M, Broger M, Vitale M, Vigl EE.
    Renal cell carcinoma and intradural spinal metastasis with cauda equina infiltration: case report–part II.
    Spine (Phila Pa 1976). 2005 Jan 15;30(2):260-2.
  58. Alfieri A, Mazzoleni G, Schwarz A, Campello M, Broger M, Vitale M, Vigl EE.
    Renal cell carcinoma and intradural spinal metastasis with cauda equina infiltration: case report.
    Spine (Phila Pa 1976). 2005 Jan 1;30(1):161-3.
  59. Melani A, De Micheli E, Pinna G, Alfieri A, Corte LD, Pedata F.
    Adenosine extracellular levels in human brain gliomas: an intraoperative microdialysis study.
    Neurosci Lett. 2003 Jul 31;346(1-2):93-6.