We have taken advantage of the temporal resolution afforded by functio
nal magnetic resonance imaging (fMRI) to investigate the role played b
y medial wall areas in humans during working memory tasks. We demarcat
ed the medial motor areas activated during simple manual movement, nam
ely the supplementary motor area (SMA) and the cingulate motor area (C
MA), and those activated during visually guided saccadic eye movements
, namely the supplementary eye field (SEF). We determined the location
of sustained activity over working memory delays in the medial wall i
n relation to these functional landmarks during both spatial and face
working memory tasks. We identified two distinct areas, namely the pre
-SMA and the caudal part of the anterior cingulate cortex (caudal-AC),
that showed similar sustained activity during both spatial and face w
orking memory delays. These areas were distinct from and anterior to t
he SMA, CMA, and SEF. Both the pre-SMA and caudal-AC activation were i
dentified by a contrast between sustained activity during working memo
ry delays as compared with sustained activity during control delays in
which subjects were waiting for a cue to make a simple manual motor r
esponse. Thus, the present findings suggest that sustained activity du
ring working memory delays in both the pre-SMA and caudal-AC does not
reflect simple motor preparation but rather a state of preparedness fo
r selecting a motor response based on the information held on-line.