“…Epilepsy, a chronic neurological disorder characterized by recurrent seizures, affects tens of millions of people globally and imposes a significant burden on patients and their families. − During seizures, neurons exhibit abnormal high-frequency discharges, triggering cellular damage and initiating oxidative stress and inflammatory cascades. , The oxidative stress process generates significant amounts of reactive oxygen species (ROS) and activates nitric oxide synthase (NOS). NOS catalyzes the conversion of l -arginine to nitric oxide (NO, intercellular signaling molecule), and then the rapid reaction between NO and superoxide radicals (O 2 •– ) leads to the formation of a highly reactive nitrogen species (RNS), peroxynitrite (ONOO – ). − In living organisms, ONOO – reacts with proteins, lipids, DNA, and other essential biomolecules, disrupting their normal structure and function, thereby contributing to the escalation of oxidative stress and inflammatory responses, ultimately leading to neuronal damage and hyperactivity. − Simultaneously, ONOO – disrupts intracellular calcium and potassium channels, thereby exacerbating oxidative stress, inflammatory responses, neuronal hyperexcitability, and firing, thus worsening the pathological process of epilepsy. − Considering the significant physiological significance of ONOO – in epilepsy, the advancement of efficient in situ and real-time brain ONOO – imaging tools holds paramount importance in expediting the screening of novel antiepileptic drugs and the exploration of innovative therapeutic strategies.…”