Before revision: The term is derived from the Latin word caesar, which was intended to mean emperor in the European medieval sense of the term—a ruler with the same rank as a Roman emperor, holding it by the approval of another emperor or a supreme ecclesiastical official (the Pope or the Ecumenical Patriarch) —but was usually considered by Western Europeans to be equivalent to "king".
After revision: The term is derived from the Latin word caesar, which was intended to mean emperor in the European medieval sense of the term—a ruler with the same rank as a Roman emperor, holding it by the approval of another emperor or a supreme ecclesiastical official —but was usually considered by Western Europeans to be equivalent to "king".