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Volume 41, Issue 2, Pages 223-226 (February 2003)


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“Suffocation roulette”: A case of recurrent syncope in an adolescent boy

Gil Z. Shlamovitz, MD, Ayala Assia, MD, Liat Ben-Sira, MD, Avinoam Rachmel, MD

Received 24 July 2002; received in revised form 26 August 2002; accepted 5 September 2002.

Abstract 

We present the case of a 12-year-old boy admitted with a complaint of recurrent syncopal episodes. A careful history taking revealed the cause of the syncopal episodes to be a dangerous game played by adolescents called “suffocation roulette.” We believe that recognition of this game as a possible cause of syncopal events, together with prompt educative intervention, might prevent adolescent morbidity and mortality and also might eliminate the need for unnecessary medical investigations. [Ann Emerg Med. 2003;41:223–226.]

Department of Pediatrics, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel

 Address for reprints: Gil Z. Shlamovitz, MD, Department of Pediatrics, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, Tel Aviv 64239, Israel; E-mail gilshla@netvision.net.il.

PII: S0196-0644(02)84972-1

doi:10.1067/mem.2003.49


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