The authors report the longitudinal study of a 53-year-old man with severe
lobar atrophy confined to the left frontal and temporal lobes, including th
e left hippocampus, but sparing other cortical regions. He experienced prof
ound cognitive deterioration, sparing only visuospatial memory. Despite the
se deficits, he could play golf at a high level of competence, following ru
les and etiquette as well as monitoring the ongoing game. The patient's gol
f performance may have been supported by residual visuospatial declarative
memory and complex flexible implicit memory programs.