Pilomotor epilepsy is a rare phenomenon. A 35-year-old man suffered a traumatic contusion of the right temporal lobe and subsequently developed spells characterized by diffuse piloerection and sweating. We believe this to be the first reported association between pilomotor epilepsy and posttraumatic head injury. Although pilomotor seizures may result from diverse etiologies, they appear to have a common involvement of temporolimbic structures.