In terms of their pattern of activity, seizures may be described as either partial or generalized. Partial seizures only involve a localized part of the brain, whereas generalized seizures involve the entire cortex. The term ‘secondary generalization’ may be used to describe a partial seizure that later spreads to the whole of the cortex and becomes generalized. All the causes of epilepsy are not known, but many predisposing factors have been identified, including brain damage resulting from malformations of brain development, head trauma, neurosurgical operations, other penetrating wounds of the brain, brain tumor, high fever, bacterial or viral encephalitis, stroke, intoxication, or acute or inborn disturbances of metabolism. Hereditary or genetic factors also play a role.