This episode delves into the potential of scalp fast oscillations (SFOs) as a noninvasive predictor of surgical outcomes in temporal lobe epilepsy with hippocampal sclerosis. Based on an abstract from Epilepsia Open (2026), the study utilized high-density EEG in drug-resistant TLE-HS patients undergoing anterior temporal lobectomy. Researchers explored whether specific SFO patterns could be associated with and forecast the success of surgical intervention. The findings suggest a promising avenue for improving patient selection and managing expectations regarding surgical efficacy in this patient population. This discussion aims to equip clinicians with actionable insights derived from advanced EEG analysis. This content is for informational purposes only and not a substitute for professional medical advice.