Episodic memory and semantic memory are two types of declarative memor
y. There have been two principal views about how this distinction migh
t be reflected in the organization of memory functions in the brain. O
ne view, that episodic memory and semantic memory are both dependent o
n the integrity of medial temporal lobe and midline diencephalic struc
tures, predicts that amnesic patients with medial temporal lobe/dience
phalic damage should be proportionately impaired in both episodic and
semantic memory. An alternative view is that the capacity for semantic
memory is spared, or partially spared, in amnesia relative to episodi
c memory ability. This article reviews two kinds of relevant data: 1)
case studies where amnesia has occurred early in childhood, before muc
h of an individual's semantic knowledge has been acquired, and 2) expe
rimental studies with amnesic patients of fact and event learning, rem
embering and knowing, and remote memory. The data provide no compellin
g support for the view that episodic and semantic memory are affected
differently in medial temporal lobe/diencephalic amnesia. However, epi
sodic and semantic memory may be dissociable in those amnesic patients
who additionally have severe frontal lobe damage. (C) 1998 Wiley-Liss
, Inc.