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What triggers temporal lobe epilepsy? Causes of temporal lobe epilepsy include: Nerve cell death, which results in scarring in the temporal lobe (called mesial temporal sclerosis or hippocampal sclerosis) Brain injury. Brain infection. Do you have to go to the hospital if you have a seizure? It is often not necessary for the person who has had the seizure to go to hospital. However an ambulance should be called if : You do not know the person or they have not had a seizure before. A convulsive (shaking) seizure lasts more than five minutes.
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