壺腹形心肌病變是一種症候群，包括急性及短暫性左心室功能異常，其特徵為心尖收縮無力，心臟底部收縮正常，但血管攝影卻無發現顯著的冠狀動脈狹窄。這種症候群之症狀及徵象與急性心肌梗塞相似，例如:心電圖之變化(ST段上升和T波倒置)和異常心肌酵素。雖然許多造成此症候群之病因在過去十年來已被廣泛探討，真正的致病原因仍然不明。我們報告一個由癲癇所引發壺腹形心肌病變於三十八歲女性之個案。我們認為兒茶酚胺所引發微小循環功能異常為最可能之致病原因。

Takotsubo cardiomyopathy is a syndrome consisting of acute-onset, transient, and abnormal left ventricular wall motion with apical akinesis and basal normokinesis without angiographically significant coronary artery stenosis. The clinical manifestations are similar to acute myocardial infarction, such as electrocardiogram (ECG) changes (ST-segment elevation and subsequent giant T wave inversion) or abnormal myocardial enzymes. The underlying pathophysiology remains unclear though there are many etiologies for this syndrome that have been proposed. We reported a 38-year-old woman with ampulla cardiomyopathy precipitated by epileptic seizure. We proposed that catecholamine-related microcirculation dysfunction appears to be the most likely etiology.