<prompt> True regarding breath holding spells are all EXCEPT:Antiepileptic treatment is necessaryAtropine is sometimes usedAttacks of cyanosis can occurOccurs between 6 months to 5 years age  <response>: BREATH HOLDING SPELLS: -- Behavioral problem, usually affects boys bw 6 months - 3 yrs of age. Results from immaturity of ANS. -- Triggers: Injury, anger, frustration -- Sequence of events is typical: Child first has long cry -- then, holds his breath -- turns blue limp -- may be followed by tonic few clonic movements. -- 2 types PALLID- caused by reflex vagal bradycardia asystole CYANOTIC - due to prolonged expiration, apnea, intrapulmonary shunting of blood -- Treatment: Parental Reassurance; Treatment of co-existing Iron deficiency anemia Anti-epileptics are usually not indicated for its treatment. 