{"entities":{"Q41328":{"pageid":31696,"ns":120,"title":"Item:Q41328","lastrevid":137177,"modified":"2026-08-13T07:27:18Z","type":"item","id":"Q41328","labels":{"mul":{"language":"mul","value":"8B92"},"pt-br":{"language":"pt-br","value":"Transtornos do plexo lombossacral"},"en":{"language":"en","value":"Lumbosacral plexus disorders"}},"descriptions":{"pt-br":{"language":"pt-br","value":"O plexo lombar \u00e9 formado pelos ramos prim\u00e1rios anteriores dos nervos espinhais lombares L1 a L4 e o plexo sacral \u00e9 derivado dos ramos prim\u00e1rios anteriores dos nervos espinhais L4, L5, S1, S2 e S3. O plexo lombar se comunica com o plexo sacral por meio da divis\u00e3o anterior de L4. O plexo lombossacral pode ser afetado por uma variedade de doen\u00e7as como invas\u00f5es diretas por neoplasias (como exemplos de colo do \u00fatero, pr\u00f3stata, bexiga, colorretal, rim, ov\u00e1rio) ou disfun\u00e7\u00e3o devida a outras causas, como diabetes mellitus, vasculite e les\u00e3o por radia\u00e7\u00e3o. Tamb\u00e9m pode ser idiop\u00e1tico. _x000D_ Nas les\u00f5es do plexo lombar, h\u00e1 fraqueza na flex\u00e3o do quadril, extens\u00e3o do joelho e adu\u00e7\u00e3o do quadril. A sensa\u00e7\u00e3o pode estar perdida na regi\u00e3o inguinal, sobre a genit\u00e1lia, nos aspectos lateral, anterior e medial da coxa e na face medial da perna; o reflexo patelar pode estar diminu\u00eddo ou ausente._x000D_ Nas les\u00f5es do plexo sacral, h\u00e1 fraqueza de extensores e abdutores do quadril, flexores do joelho, flexores plantares e dorsiflexores do tornozelo; a perda sensorial \u00e9 observada na face posterior da coxa, em face anterolateral e posterior da perna abaixo do joelho e em superf\u00edcie dorsolateral e plantar do p\u00e9. O reflexo aquileu est\u00e1 reduzido ou ausente."},"en":{"language":"en","value":"The lumbar plexus is formed by the anterior primary rami of lumbar spinal nerves L1 to L4 and the sacral plexus is derived from the anterior primary rami of spinal nerves L4, L5, S1, S2, and S3.  The lumbar plexus communicates with the sacral plexus via the anterior division of L4.  The lumbosacral plexus can be affected by a variety of diseases like direct invasions by neoplasms (for examples from cervix, prostate, bladder, colorectum, kidney, ovary) or dysfunction due to other causes such as diabetes mellitus, vasculitis and radiation injury. It can also be idiopathic. In lumbar plexus lesions, there is weakness of hip flexion, knee extension and hip adduction. Sensation may be lost in the inguinal region, over the genitalia, the lateral, anterior and medial thigh and on the medial aspect of the lower leg; the knee jerk may be decreased or absent. In sacral plexus lesions, there is weakness of hip extensors and abductors, knee flexors, ankle plantar flexors and dorsiflexors; sensory loss is found over the posterior aspect of the thigh, the anterolateral and posterior aspect of the leg below the knee, and the dorsolateral and plantar surface of the foot. The ankle jerk is reduced or absent."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"0d03df0e2c42c9700dead8e890da35dca567d3fa","datavalue":{"value":"https://id.who.int/icd/entity/875916171","type":"string"},"datatype":"url"},"type":"statement","id":"Q41328$C0695A5F-11B8-4E36-9F42-80B15AA3D4E4","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"b2ead78458f09703938a1cbe22e2b7563ede3f47","datavalue":{"value":"CID11:8B92","type":"string"},"datatype":"string"},"type":"statement","id":"Q41328$CAE25E8A-BF9D-44E4-A20A-E633DFD551C9","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"330e60d8d48256169c42395328c450cde2b498a0","datavalue":{"value":"dki-india-8B92","type":"string"},"datatype":"string"},"type":"statement","id":"Q41328$D66BC797-63B6-4EF5-8B27-8D056BA523C6","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q41328$F7DEADA3-9173-4C1A-896E-A238E3931B27","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q41328$A2C3B4A2-5D36-40E5-8F2F-F07ABFE343CF","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q41328$F065A28D-2C1F-4DF4-AC5C-A75C08A7A467","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"12079fd61d58b5f213ce79a6dc1fefa8b453804f","datavalue":{"value":{"entity-type":"item","numeric-id":17150,"id":"Q17150"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q41328$9D1539E2-9B30-419F-BDB4-F1C81DB68995","rank":"normal"}]},"sitelinks":{}}}}