The amygdala appears necessary for enhanced long-term memory associated with emotionally arousing events. Recent brain imaging investigations support this view and indicate a sex-related hemispheric lateralization exists in the amygdala relationship to memory for emotional material. This study confirms and further explores this finding. Healthy men and women underwent functional Magnetic Resonance Imaging (fMRI) while viewing a series of standardized slides that were rated by the subjects as ranging from emotionally neutral to highly arousing. Two weeks later, memory for the slides was assessed in an incidental recognition test. The results demonstrate a significantly stronger relationship in men than in women between activity of the right hemisphere amygdala and memory for those slides judged as arousing, and a significantly stronger relationship in women than in men between activity of the left hemisphere amygdala and memory for arousing slides. An ANOVA confirmed a significant interaction between sex and hemisphere regarding amygdala function in memory. These results provide the strongest evidence to date of a sex-related hemispheric lateralization of amygdala function in memory for emotional material. Furthermore, they underscore the view that investigations of neural mechanisms underlying emotionally influenced memory must anticipate, and begin to account for, the apparently substantial influence of sex.The amygdala appears crucially involved with enhanced memory associated with emotionally arousing events in both animal (McGaugh 2000) and human (Cahill 2000) subject studies. For example, activity of the human amygdala during encoding of arousing material relates significantly to long-term memory of that material but not to memory of nonarousing material (Cahill et al. 1996(Cahill et al. , 2001Canli et al. 1999Canli et al. , 2000Canli et al. , 2002Hamann et al. 1999). Conversely, bilateral amygdala lesions reduce or abolish enhanced long-term memory associated with emotional arousal, although they do not affect memory for relatively neutral material or affect emotional reactions per se to arousing stimuli .More recently, human brain imaging evidence has begun to reveal a sex-related hemispheric lateralization of amygdala function with respect to memory for emotionally arousing material. For example, in both a glucose PET investigation (Cahill et al. 2001) and an fMRI investigation (Canli et al. 2002), activity of the right, but not left, hemisphere amygdala related significantly to long-term incidental memory for arousing material in men but not in women, whereas activity of the left, but not right, hemisphere amygdala related significantly to memory for arousing material in women but not in men. As noted recently by Pizzagalli and colleagues (2003), such claims about lateralized amygdala function "require systematic replication." Providing such a replication was the first major aim of the present study.Evidence for hemispheric lateralization of brain function derived from brain imaging investigations must ...