Studies of human amnesia provide evidence for a short-term memory store wit
h information transfer to long term memory occurring within 60 a of sensory
encoding. Human and nonhuman primate research has shown that maintenance o
f this short-term or working memory store is dependent upon frontal cortica
l activation, although the critical temporal parameters of frontal involvem
ent throughout this 60-s window are undetermined. We examined prefrontal co
ntributions to rapid (under 2 s) and sustained (over 4 s) visual working me
mory by recording behavioral performance and event-related potentials (ERPs
) in patients with lesions in dorsolateral frontal cortex and age-matched c
ontrol subjects. Prefrontal lesioned patients generated a reduced sustained
frontal positivity at all delays. At short delays, patients generated redu
ced performance to stimuli presented in the contralesional field. Patients
generated a negative potential (N400), greatest to contralesionally present
ed stimuli, that was observed in the control subjects only at long delays.
The results indicate that prefrontal lesions impair the frontal component o
f an anterior-posterior working memory network activated during rapid and s
ustained visual memory processing. Frontal patients may require activation
of limbic cortex, indexed by N400, for maintenance of both rapid and sustai
ned working memory. (C) 1999 Elsevier Science B.V. All rights reserved.