We report a 10-year-old girl with reflex seizures characterized by vis
ual and acoustic hallucinations, induced by visual and acoustic stimul
ations. The EEG showed atypical spike-wave discharges on the left temp
oro-occipital area, markedly activated by visual and acoustic stimuli
(intermittent light, pattern-reversal stimulation and monoaural right
pure tone). The patient was treated with carbamazepine and seizure sto
pped within 7 months. After 10 months from the start of the therapy sh
e developed signs of systemic lupus erythematosus.