On the basis of cytoarchitectural and functional studies, the frontal
lobe can be subdivided into the primary motor cortex, premotor cortex,
prefrontal cortex, and the limbic and paralimbic cortices. However, w
e are still a long way from clearly identifying individual frontal lob
e epilepsies. Instead, we are limited to a discussion of frontal lobe
seizures arising from various regions of the frontal lobe. Supplementa
ry motor area epilepsy and perirolandic epilepsy have been quite well
defined, in contrast to syndromes involving other regions of the front
al lobe. Recent technological advances in neuroimaging, electroencepha
lography, magnetoencephalography and detailed videotape analysis of se
izure semiology may enable us to delineate these frontal lobe syndrome
s with better accuracy, thereby improving outcome after epilepsy surge
ry.