Marvelous medicine: the untold story of the Wade-Dahl-Till valve

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Adam L. Sandler Department of Neurological Surgery, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, and

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Donald Sturrock
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Jane Branfield The Roald Dahl Museum and Story Centre, Buckinghamshire, United Kingdom

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Rick Abbott Department of Neurological Surgery, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, and

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James T. Goodrich Department of Neurological Surgery, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, and

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Arundhati Biswas Department of Neurological Surgery, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, and

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Lawrence B. Daniels III Department of Neurological Surgery, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, and

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Eugene S. Flamm Department of Neurological Surgery, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, and

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On December 5, 1960, 4-month-old Theo Dahl, the only son of best-selling author Roald Dahl (1916–1990), had his skull shattered in a horrific traffic accident. What began as a personal tragedy for the Dahl family would soon evolve into a dogged crusade by Dahl to expand upon preexisting valve technology with the goal of developing a shunt that would not become obstructed. Based upon exclusive access to private archives of the Dahl estate, as well as interviews with those involved, this article tells the intricate tale of one famous father's drive to significantly alter the natural history of pediatric hydrocephalus. Dahl's collaboration with British toymaker Stanley Wade and pioneering pediatric neurosurgeons Joseph Ransohoff, Kenneth Shulman, and Kenneth Till to create the Wade-Dahl-Till (WDT) valve is examined in detail. The ensuing rift between the American and British contingents, the valve's multiple design revisions, and the goal of creating an affordable shunt for children in developing countries are among the issues addressed. The development of the WDT valve marked a significant turning point in the surgical management of pediatric hydrocephalus in general and in shunt valve technology in particular.

Abbreviations used in this paper:

NYU = New York University; WDT = Wade-Dahl-Till.
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  • 1

    Aschoff A, , Kremer P, , Hashemi B, & Kunze S: The scientific history of hydrocephalus and its treatment. Neurosurg Rev 22:6795, 1999

  • 2

    Boockvar JA, , Loudon W, & Sutton LN: Development of the Spitz-Holter valve in Philadelphia. J Neurosurg 95:145147, 2001

  • 3

    Brown H: Kenneth Till: obituary. Lancet 372:1216, 2008

  • 4

    Drake JM, , Kestle JR, & Tuli S: CSF shunts 50 years on—past, present and future. Childs Nerv Syst 16:800804, 2000

  • 5

    Hayward R: Fathers of invention (http://www.timeshighereducation.co.uk/story.asp?storycode=1790920) [Accessed February 2, 2012]

  • 6

    Kricheff II: Joseph Ransohoff (1916–2001). AJNR Am J Neuroradiol 22:14401441, 2001

  • 7

    Mathews ES, , Sanchez G, & Ransohoff J: A preliminary report on a biological fluid transfer system for the treatment of hydrocephalus. Dev Med Child Neurol Suppl 13:103107, 1967

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  • 8

    Oppenheim JS: Neurosurgery at the Mount Sinai Hospital. J Neurosurg 80:935938, 1994

  • 9

    Pudenz RH: The ventriculo-atrial shunt. J Neurosurg 25:602608, 1966

  • 10

    Ransohoff J, , Shulman K, & Fishman RA: Hydrocephalus: a review of etiology and treatment. J Pediatr 56:399411, 1960

  • 11

    Sturrock D: Storyteller: The Authorized Biography of Roald Dahl New York, Simon and Schuster, 2010

  • 12

    Till K: One pediatric neurosurgeon's story. Childs Nerv Syst 13:471473, 1997

  • 13

    Till K: A valve for the treatment of hydrocephalus. Lancet 1:202, 1964

  • 14

    Wade SC inventor: Hydrocephalus shunt pump. US patent 3,233,610 February 8 1966

  • 15

    Wycombe Invention a Life-Saver: Research Aids Sick Children. Bucks Free Press February 7 1964. No. 5590

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