Core clinical engineering and protocols for Cortical Speech Decoding.
Patients suffering from severe locked-in syndrome due to amyotrophic lateral sclerosis (ALS) or brainstem strokes retain intact cortical language planning but lose all motor control of their vocal cords, lips, and tongue, leaving them unable to speak.
NeuroLinkage places high-density arrays over the speech sensorimotor cortex. When the patient attempts to speak, recurrent transformer networks decode neural firing rates into intended phonemes, streaming natural-sounding synthesized speech with low latency, restoring fluent conversational communication.