Abstract

In a previous experiment with patients who had undergone unilateral temporal thermocoagulation lesions to alleviate intractable epilepsy, we demonstrated that the right parahippocampal cortex was critical for the performance of a spatial memory task (Bohbot et al. (1998) Neuropsychologia 36:1217-1238). Based on this evidence, we predicted that H.M., whose caudal parahippocampal cortex was structurally intact (Corkin et al. (1997) J Neurosci 17:3964-3979), would be able to learn the spatial memory task. This task was designed to be a human analogue of the Morris water maze in that it measured participants' ability to learn the location of a target, which was an invisible weight sensor placed under a carpet (Bohbot et al. (1998) Neuropsychologia 36:1217-1238). H.M. was first tested with the sensor under a small carpet (162 cm x 150 cm). Then, interspersed with the first sensor location, he was tested with the sensor in a second location, covered by a larger carpet (250 cm x 210 cm). He found the second target location in a direct path on only 10% of the trials. In contrast, when tested on the first sensor location, he walked directly toward the center of the testing area in 19/35 trials and from there found the sensor in a direct path on 15 of the 19 trials (80%). The number of direct hits at the first target location was significantly greater than chance (P