In this case study, a ''hippocampal amnesic'' (H.M.) and memory-normal controls of similar age, background, intelligence, and education read novel sentences aloud in tasks where fast and accurate reading either was or was not the primary goal. In four experiments, H.M. produced more misreadings than normal and cerebellar controls, usually without self-correction. H.M.'s misreadings typically reduced semantic and syntactic complexity and caused ungrammaticality by omitting short high-frequency function-words. H.M. also produced each word more slowly and paused longer than controls at three points: before beginning to produce a sentence, between words in unfamiliar phrases, and at major syntactic boundaries unmarked by commas. H.M.'s selective sentence-reading de cits were unrelated to word-speci c factors, ambiguity, and sentence length, and were not attributable to his cerebellar damage, speed-accuracy trade-off, general slowing, general cognitive decline, left-to-right reading processes, or limitations in workingmemory capacity. However, present results supported a ''theoreticalsyndrome approach'' under which all of H.M.'s de cits (in reading sentences, in comprehending and producing spoken sentences, in reading isolated words and pseudo-words, in visual cognition, and in recall from episodic memory) form part of a general, theoretically coherent syndrome that generalises to other patients.