The participation of the medial temporal cortex and other cerebral str
uctures in the memory impairment that accompanies aging was examined b
y means of positron emission tomography. Cerebral blood flow (rCBF) wa
s measured during encoding and recognition of faces. Young people show
ed increased rCBF in the right hippocampus and the left prefrontal and
temporal cortices during encoding and in the right prefrontal and par
ietal cortex during recognition. Old people showed no significant acti
vation in areas activated during encoding in young people but did show
right prefrontal activation during recognition. Age-related impairmen
ts of memory may be due to a failure to encode the stimuli adequately,
which is reflected in the lack of cortical and hippocampal activation
during encoding.