Objective: The aim of this paper is to describe a case of musical hallucinations with temporal lobe abnormalities responding to carbamazepine treatment. Clinical picture: A 63–year-old woman suffered from musical hallucinations accompanied by mild left temporal spike activity. Treatment: She received carbamazepine treatment.
Outcome: Four weeks of carbamazepine treatment diminished her musical hallucinations in parallel with the normalisation of her mild left temporal spike activity.
Conclusions: These findings suggest that carbamazepine can be an effective treatment for musical hallucinations with temporal lobe abnormalities.
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