The evaluation of temporal lobe epilepsy begins with a medical history and physical examination.

The physical examination in someone with temporal lobe epilepsy is usually normal, unless they are actively experiencing a seizure.

Physical findings in someone with a seizure from temporal lobe epilepsy may include:

• Arm numbness (unilateral)
• Leg numbness (unilateral)
• Hand numbness (unilateral)
• Arm weakness (unilateral)
• Leg weakness (unilateral)
• Facial weakness (unilateral):
• Facial drooping
• Fever
• Stiff neck
• Difficulty with balance
• Loss of coordination
• Memory loss
• Confusion
• Coma

Tests are usually required to confirm the diagnosis and cause of a seizure disorder.

Tests that may be used to evaluate temporal lobe epilepsy include:

• Blood glucose
• Coagulation profile
• Complete blood count
• Serum drug levels
• Kidney profile
• Liver profile
• CT scan of the brain
• MRI scan of the brain
• PET scan
• Lumbar puncture with spinal fluid analysis
• Electroencephalogram