Introduction: Globalization and IGAP give us the opportunity to better address the issue of epilepsy in order to reduce the gap that exists in its treatment. Each country should take this opportunity to take stock of its epilepsy management in order to organize efficient implementation of the IGAP. Methodology: To be able to paint a portrait of epilepsy in Mali, we carried out a narrative review of the literature on this specific issue. With the key words “epilepsy” and “Mali” and using the New Castle scale, we selected 9 articles whose content is analyzed in this work. Results : From what has already been done: - The prevalence of epilepsy is estimated at 13.35‰ - Generalized tonic-clonic seizures are the most none; - Natal peril, infections of the central nervous system and cranio-encephalic trauma are important causes; - EEG and imaging are not sufficiently available; - Phenobarbutal is the most used drug; - Commorbidities are rarely taken into account; - Cultural beliefs are still very influential and - There is no register and no suffisent qualified human ressources. Conclusion Much remains to be done. However the implementation of IGAP will make it possible to fill the various gaps discovered by this work.

Zeinab Kone
Neurologie, CHU Point G
Mali

Dramane Coulibaly
Hopital Mere Enfant le Luembourg
Mali

Abba Cisse
Point G Teaching Hospital
Mali