The structures forming the medial temporal lobe appear to be necessary for
the establishment of long-term declarative memory. In particular, they may
be involved in the "consolidation" of information in higher-order associati
onal cortices, perhaps through feedback projections. This review highlights
the fact that the medial temporal lobe is organized as a hierarchy of asso
ciational networks. Indeed, associational connections within the perirhinal
, parahippocampal, and entorhinal cortices enables a significant amount of
integration of unimodal and polymodal inputs, so that only highly integrate
d information reaches the remainder of the hippocampal formation. The feedb
ack efferent projections from the perirhinal and parahippocampal cortices t
o the neocortex largely reciprocate the afferent projections from the neoco
rtex to these areas. There are, however, noticeable differences in the degr
ee of reciprocity of connections between the perirhinal and parahippocampal
cortices and certain areas of the neocortex, in particular in the frontal
and temporal lobes. These observations are particularly important for model
s of hippocampal-neocortical interaction and long-term storage of informati
on in the neocortex. Furthermore, recent functional studies suggest that th
e perirhinal and parahippocampal cortices are more than interfaces for comm
unication between the neocortex and the hippocampal formation. These struct
ures participate actively in memory processes, but the precise role they pl
ay in the service of memory or other cognitive functions is currently uncle
ar. (C) 2000 Wiley-Liss, Inc.