{"entities":{"Q46024":{"pageid":36395,"ns":120,"title":"Item:Q46024","lastrevid":177379,"modified":"2026-08-13T14:20:29Z","type":"item","id":"Q46024","labels":{"mul":{"language":"mul","value":"LA02"},"pt-br":{"language":"pt-br","value":"Espinha b\u00edfida"},"en":{"language":"en","value":"Spina bifida"}},"descriptions":{"pt-br":{"language":"pt-br","value":"Espinha b\u00edfida \u00e9 a mais comum de um grupo de defeitos cong\u00eanitos chamados defeitos do tubo neural. A espinha b\u00edfida afeta a coluna vertebral e, \u00e0s vezes, a medula espinal. Espinha b\u00edfida aberta define o mau fechamento dorsal das v\u00e9rtebras, associado a v\u00e1rios graus de defeitos da coluna. Uma bolsa de pele pode se formar, contendo meninges (meningocele) ou medula espinal e meninges (mielomeningocele). Diferentes subtipos s\u00e3o diferenciados de acordo com a localiza\u00e7\u00e3o do defeito. As consequ\u00eancias s\u00e3o paraplegia (membros inferiores paralisados), hidrocefalia, malforma\u00e7\u00e3o de Chiari (resultado da fixa\u00e7\u00e3o da coluna durante a vida intrauterina), incontin\u00eancia urin\u00e1ria e anorretal. A intensidade dos sinais varia grandemente com o n\u00edvel e a extens\u00e3o da les\u00e3o."},"en":{"language":"en","value":"Spina bifida is the most common of a group of birth defects called neural tube defects. Spina bifida affects the backbone and, sometimes, the spinal cord. Aperta spina bifida defines the dorsal malclosure of vertebrae, associated with various degrees of spine defects. A pocket of skin may form, containing meninges (meningocele) or spinal cord and meninges (myelomeningocele). Different subtypes are distinguished according to the location of the defect. Consequences are paraplegia (paralysed lower limbs), hydrocephaly, Chiari malformation (result of the attached spine during life in utero), urinary and anorectal incontinence. The intensity of signs varies greatly with the level and extent of the lesion."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"a908766bcf305a19218d81e62d8ebd6ae0deec10","datavalue":{"value":"https://id.who.int/icd/entity/2036217905","type":"string"},"datatype":"url"},"type":"statement","id":"Q46024$FD01DFD9-D0A6-4AF2-9E9C-CD05B9A25D6A","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"f04139527cc87dc972e6868c7ca1ad58166f7553","datavalue":{"value":"CID11:LA02","type":"string"},"datatype":"string"},"type":"statement","id":"Q46024$65A61446-DA6B-4E46-8CC6-B8A40DF35C7F","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"cb1532195237979e917a2e73854b607cd6462fe3","datavalue":{"value":"dki-india-LA02","type":"string"},"datatype":"string"},"type":"statement","id":"Q46024$815E82A4-5182-49DC-B16C-EADDD0D3C229","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q46024$31AC605B-4110-4EE4-85D9-BEA10CDBF612","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q46024$F76290FF-A357-42AC-87E3-32C69C9C7586","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":"Q46024$7E8455BC-AE12-41BC-BFEC-6D8A919BA8F7","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"f5c8ee1c9126bd64d5cae0673aeab454dbe0cd95","datavalue":{"value":{"entity-type":"item","numeric-id":21782,"id":"Q21782"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q46024$85D333EB-FA96-4AA6-A9F0-10E647A6C5DE","rank":"normal"}]},"sitelinks":{}}}}