‘Breath-holding spells come in two forms; pallid and cyanotic. Cyanotic breath-holding spells are the more common of the two. Patients usually have episodes where some stimulus (pain, anger) leads to excessive crying and hypopnea/apnea. Reassurance for the family is an important step in management after diagnosis. Checking an EKG and for iron deficiency anemia are also reasonable. AEDs have no role in the management of breath-holding spells.