A child with T10 level spina bifida is losing bladder control. What condition might this change in status indicate?

The loss of bladder control in a child with T10 level spina bifida could indicate the presence of a tethered cord. In individuals with spina bifida, especially those with a myelomeningocele, the spinal cord can develop abnormally and become tethered to the spinal canal, affecting its mobility and function. This abnormal attachment can result in neurologic deficits, which may manifest as changes in bladder control.

As the condition progresses, the increased tension on the spinal cord from tethering can lead to a decline in function, including bowel and bladder control issues. It’s vital for individuals with spina bifida to be monitored for signs of tethered cord syndrome, as early detection can be crucial in managing symptoms effectively.

Other conditions mentioned, such as hydrocephalus or urinary retention issues, while relevant in the context of spina bifida, do not specifically correlate with a sudden loss of bladder control as a direct indicator in this scenario. Skeletal dysplasia does not typically affect bladder control in the same manner. Thus, tethered cord syndrome is the most directly related condition associated with this change in status.