Objective: Breath holding spells is a common case in children aged 5months to 6 years, and often misinterpreted with epileptic seizures.we did clinical and epidemiological assessment for BHS.We documented the relation between sex, age, familial history and the episodes nature blue, pale or mixed. Materials & Methods: This was a cross-sectional study in which a total of 50 children with BHS, admitted to the out patient neuropediatric clinic 2013-2014. We took full medical history and did the investigations to eliminate the differential diagnosis. Results:Most patient were 7-24 month, we noticed parental consanguinity 87% and familial history in 56%.The spells were cyanotic 70%. Anger and pain were the more frequent risk factors 64%,60%.Anemia found in 58% of patient.Half of the patient have socioeconomic problems.And most of them from nuclear family 66%. Conclusion:The study mentioned the types of spells and the risk factors and the importance of look for anemia.