title: "Suffocation roulette": a case of recurrent syncope in an adolescent boy.
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.
authors.affiliation: Department of Pediatrics, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Ramat Aviv, Israel. gilshla@netvision.net.il
authors.forename: Gil Z
authors.initials: GZ
authors.lastname: Shlamovitz
authors.forename: Ayala
authors.initials: A
authors.lastname: Assia
authors.forename: Liat
authors.initials: L
authors.lastname: Ben-Sira
authors.forename: Avinoam
authors.initials: A
authors.lastname: Rachmel
mesh_terms: D000058:Accidental Falls; D000293:Adolescent; D000294:Adolescent Behavior; D001237:Asphyxia / Q000209:etiology*; D002648:Child; D006801:Humans; D008297:Male; D010379:Peer Group; D012008:Recurrence; D013575:Syncope / Q000209:etiology* / Q000503:physiopathology