Historical roots of terminology
Many fundamental anatomical names have come down to us from antiquity. For example, the physician Herophilus is credited with coining terms such as "systole," "diastole," and "prostate." He was also the first to describe the duodenum (kolon dodekadaktylon), which was later transformed in "barbaric Latin" into our familiar duodenum.
Herophilus also named the meninges, which formed the basis of modern clinical diagnoses:
- Meninx pacheia — dura mater. This root gives rise to the term pachymeningitis (inflammation of the dura mater).
- Meninx lepte — pia mater. This gave rise to the term leptomeningitis (inflammation of the pia mater).
Arachnoid mater and its spaces
The arachnoid mater of the brain (Arachnoidea encephali) is separated from the dura mater by a capillary cleft called the subdural space. An important anatomical feature of the arachnoid mater is that it does not extend into the depth of the cerebral sulci. Unlike the pia mater (pia mater), it bridges across the depressions like little bridges.
Between the arachnoid and pia mater lies the subarachnoid space (Cavitas subarachnoidealis). It is filled with clear cerebrospinal fluid. Cerebral blood vessels run through this space. To prevent them from being compressed, they are protected by the surrounding fluid and connective tissue trabeculae — trabeculae arachnoideales.
Cerebral cisterns
In certain areas, predominantly at the base of the brain, the subarachnoid space widens, forming deep fluid reservoirs — cisterns.
| Russian name | Latin term | Location |
|---|---|---|
| Cerebellomedullary cistern | Cisterna cerebellomedullaris | Between the medulla oblongata and the posterior margin of the cerebellum (the largest one) |
| Interpeduncular cistern | Cisterna interpeduncularis | Between the cerebral peduncles (pedunculi cerebri) |
| Chiasmatic cistern | Cisterna chiasmatis | Anterior to the optic chiasm (chiasma opticum) |
| Cistern of the lateral fossa | Cisterna fossae lateralis cerebri | In the corresponding fossa of the cerebrum |
The subarachnoid spaces communicate widely with each other. Near the foramen magnum, they pass directly into the corresponding space of the spinal cord. In addition, there is a direct communication with the brain ventricles through apertures in the posterior wall of the fourth ventricle: the median aperture (Apertura mediana ventriculi quarti) and the lateral aperture (Apertura lateralis ventriculi IV).
Arachnoid granulations
For the outflow of cerebrospinal fluid into the bloodstream, there are arachnoid granulations (Granulationes arachnoideales). These are small, round, grayish-pink outgrowths that project into the cavities of venous sinuses or adjacent blood lakes. The outflow process occurs via filtration.
Granulations are present at any age, but in old age they become largest and most numerous. As they grow, they leave characteristic depressions on the inner surface of the cranial bones — foveolae granulares.
Clinical terms and diagnoses
Knowledge of anatomical structures makes it easy to decode clinical diagnoses. Terms are formed by combining Greek and Latin term elements (TE):
- Meningoencephalitis (meningoencephalitis): mening- (meninges) + encephal- (brain) + -itis (inflammation).
- Amnesia (amnesia): a- (absence) + -mnesia (memory) — memory loss.
- Dysphagia (dysphagia): dys- (disorder) + phag- (swallowing) — swallowing disorder.
In clinical practice, diagnoses are often formulated entirely in Latin. For example, atherosclerosis of cerebral arteries is termed Atherosclerosis arteriarum cerebralium (or arteriarum cerebri), and chronic posthemorrhagic anemia is translated as Anaemia posthaemorrhagica chronica.
To avoid confusing the historical names of the meninges: "pachymeningitis" sounds heavy — it is inflammation of the dura mater (meninx pacheia), while "leptomeningitis" sounds light — it is inflammation of the pia mater (meninx lepte).
Class and exam questions
Where is the largest cerebral cistern located?
The largest is the cerebellomedullary cistern (Cisterna cerebellomedullaris). It is located between the posterior margin of the cerebellum and the medulla oblongata.
How does the subarachnoid space communicate with the ventricles?
Communication occurs through apertures in the posterior wall of the IV ventricle. Fluid passes through the median aperture (Apertura mediana ventriculi quarti) and the lateral aperture (Apertura lateralis ventriculi IV).
What function do arachnoid granulations perform?
They are responsible for the outflow of cerebrospinal fluid into the bloodstream via filtration. With age, granulations enlarge and form pits on the cranial bones (foveolae granulares).
What else to study on this topic
- Principles of forming clinical terms using Greek term elements
- Latin names of blood vessel and blood pathologies (endarteritis, thrombocytosis)
- Terminology of surgical interventions (laparotomy, anastomosis)
- Names of disorders of the body's physiological functions (dysuria, dysphagia)
- Benign and malignant tumors in Latin nomenclature (hemangioma, sarcomatosis)
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