No way currently exists to prevent or cure hydrocephalus, which is the abnormal accumulation of cerebral spinal fluid (CSF) in the brain. The most effective treatment involves surgical insertion of a shunt to move excess CSF from the brain into the venous system or other receptive cavities. Most shunts contain valves that open when the pressure difference across the valve reaches a predetermined amount. However, gravity-induced pressure changes caused by a re-positioning of the head can open the valve even in the absence of CSF buildup, resulting in excess siphoning of CSF from the brain. UW-Madison researchers have now created a shunt with a new type of ventriculoperitoneal valve that does not allow undesired siphoning of CSF. The shunt includes an inlet port, an outlet port and a fluid channel in between. It also contains a valve located between the two ports and a valve-actuating member, such as a piston, which holds the valve closed.
As CSF accumulates, it puts pressure on the piston, which is held in place by a circumferential rubber skirt that acts as a spring. When the pressure reaches a predetermined level, a channel within the piston aligns with the fluid channel, allowing CSF to flow from the head through a catheter. The valve is designed so that the piston responds to the build-up of CSF, but not to changes in CSF flow due to gravity. Thus, the valve opens only in response to intracranial pressure, eliminating the problem of gravity-induced siphoning seen in conventional shunts.
The Wisconsin Alumni Research Foundation (WARF) is seeking commercial partners interested in developing a shunt with a new type of ventriculoperitoneal valve that does not allow undesired siphoning of CSF.