We evaluated two different perspectives about the function of the human hippocampus-one that emphasizes the importance of memory and another that emphasizes the importance of spatial processing and scene construction. We gave tests of boundary extension, scene construction, and memory to patients with lesions limited to the hippocampus or large lesions of the medial temporal lobe. The patients were intact on all of the spatial tasks and impaired on all of the memory tasks. We discuss earlier studies that associated performance on these spatial tasks to hippocampal function. Our results demonstrate the importance of medial temporal lobe structures for memory and raise doubts about the idea that these structures have a prominent role in spatial cognition.T wo traditions of work have influenced discussion about the function of the hippocampus (1). One tradition is based on work with memory-impaired patients and the idea that the hippocampus is important for a particular kind of memory (2, 3). The other tradition is based on work with rodents and the idea that the hippocampus is critical for spatial mapping (4). Its possible role in spatial processing has been recently explored in humans as well (5), and it has been proposed that the human hippocampus is essential for the ability to construct spatially coherent scenes (6, 7).This view of hippocampal function has depended on evidence from two kinds of tasks: boundary extension and scene construction (6,8). Boundary extension refers to the tendency to reconstruct a scene such that it has a larger background than was actually presented (9). In the Mullally et al. (8) study, memoryimpaired patients exhibited boundary extension less strongly than controls. Scene construction refers to the ability to imagine and describe spatially coherent scenes. In two studies, memoryimpaired patients made few references to space when visualizing and describing imagined scenes (6,8).It is unclear how to reconcile such findings with the view that the hippocampus chiefly supports memory functions. In particular, the idea that the construction and visualization of scenes involves the hippocampus seems at odds with the historic distinction between short-term (working) memory and long-term memory and the related idea that short-term memory is independent of the hippocampus (10-12). According to this perspective, hippocampal damage should not impair performance on spatial tasks, so long as testing puts no burden on long-term memory. In an attempt to clarify these issues, we gave tests of boundary extension, scene construction, and memory to patients with well-characterized lesions limited to the hippocampus or large lesions of the medial temporal lobe.Results Experiment 1. Both controls and hippocampal patients exhibited boundary extension. That is, both groups drew the central objects such that they occupied less area than in the original photographs ( Fig. 1 controls = 61.9% of the original area, hippocampal patients = 62.5% of the original area, P < 0.01). The extent of reduction was simil...