Arachnoid granulation

Arachnoid granulations (or arachnoid villi) are small protrusions of the arachnoid (the thin second layer covering the brain) through the dura mater (the thick outer layer). They protrude into the venous sinuses of the brain, and allow cerebrospinal fluid (CSF) to exit the sub-arachnoid space and enter the blood stream.

Largest granulations lie along the superior sagittal sinus, a large venous space running from front to back along the center of the head (on the inside of the skull). They are, however, present along other dural sinuses as well. Smaller granulations are called villi, large calcified ones are referred to as pacchionian bodies.

Function

Diffusion across the arachnoid granulations into the superior sagittal sinus returns CSF to the venous circulation.

The arachnoid granulations act as one-way valves. Normally the pressure of the CSF is higher than that of the venous system, so CSF flows through the villi and granulations into the blood. If the pressure is reversed for some reason, fluid will not pass back into the subarachnoid space. The reason for this is not known. It has been suggested that the endothelial cells of the venous sinus create vacuoles of CSF, which move through the cell and out into the blood.