A control group, a group with frontal lobe epilepsy, and a group with
primary generalized epilepsy were tested on a task of primary, or work
ing, memory. Another task controlled for attention, motivation, and ha
bituation. The frontal lobe group showed impairment on both tasks, par
ticularly the primary memory task and the worst performance on all mea
sures. This was true of patients with or without obvious structural le
sions. The primary generalized group performed normally on the task of
attention but were impaired on the task of primary memory. Neither of
these effects could be attributed solely to poor motor skills or anti
convulsant drugs. They may be due to persistent postictal effects, int
erictal spikes, or spikewave complexes or to the underlying pathophysi
ology that is also responsible for the epileptic state.