Poor attention and impaired memory are enduring and core features of s
chizophrenia. These impairments have been attributed either to global
cortical dysfunction or to perturbations of specific components associ
ated with the dorsolateral prefrontal cortex (DLPFC), hippocampus and
cerebellum. Here, we used positron emission tomography (PET) to dissoc
iate activations in DLPFC and hippocampus during verbal episodic memor
y retrieval. We found reduced hippocampal activation during conscious
recollection of studied words, but robust activation of the DLPFC duri
ng the effort to retrieve poorly encoded material in schizophrenic pat
ients. This finding provides the first evidence of hippocampal dysfunc
tion during episodic memory retrieval in schizophrenia.