Temporal lobe epilepsy (TLE) is the most common form of focal seizure affecting ~50 million people worldwide. TLE refers to hyper neuronal activity localized to the temporal lobes in the right and left hemispheres of the brain. Effects are long-lasting and include memory problems due to repeated TLE causing shrinking of the hippocampus and degradation of the neurons contained within it. It is estimated that about 6 out of 10 people with focal epilepsy specifically exhibit TLE. Common causes of TLE appear to be traumatic brain injury, gliosis, stroke, brain tumour, inflammatory infections such as encephalitis or meningitis, and genetic abnormalities. Data from a patient sample where all patients suffered from a form of epilepsy was collected, and a majority appeared to exhibit TLE. The causes for each patient’s TLE were observed, and the primary reasons (based on risk factors and MRI/CT results) were found to be head trauma and intellectual disability (formerly known as mental retardation). This data was further analyzed to understand better the observed primary causes of TLE in the Mecklenburg Neurology patient sample.