If the seizures have a known cause, the condition is referred to as secondary or symptomatic epilepsy. Some of the more common causes are listed. Sometimes these are referred to as grand mal seizures. To the observer, the person experiencing such a seizure may cry out or make some sound, stiffen for some seconds, then have rhythmic movements of the arms and legs. Often the rhythmic movements slow before stopping.
Eyes are generally open.
The person may not appear to be breathing. The person is often breathing deeply after an episode. The return to consciousness is gradual and should occur within a few moments. Loss of urine is common. Often people will be confused briefly after a generalized seizure.