Neurology Dictation for Complex Assessments
and Sensitive Data
Neurological diagnoses touch employment, insurance, and legal standing in ways most specialties don't. EMG reports, EEG interpretations, dementia staging, and neuropsychological testing belong on your device - not a vendor's server.
Why neurology data has
higher-than-average cloud risk
Most specialties carry HIPAA obligations. Neurology carries those plus a set of real-world consequences that make data exposure especially costly for patients. A documented seizure disorder can affect a driver's license. A dementia diagnosis can trigger guardianship proceedings. A neuropsychiatric comorbidity can surface in insurance underwriting or employment background checks.
When dictation routes through a cloud vendor, the neurologist loses direct control of where that data lives. Even with a signed BAA, a vendor's server is not under your IT department's governance. Breach notification requirements and legal discovery reach vendor infrastructure too.
VoicePrivate keeps the entire transcription pipeline on your device. Audio is captured, processed, and converted to text locally. The network stack is never involved. What you dictate about a patient's MMSE score, seizure frequency, or neuropsychological test results stays exactly where it should: on your computer.
Dragon Medical One / cloud scribes
- ↓ Neurologist dictates EMG findings or cognitive assessment
- ↓ Audio sent to vendor cloud server
- ↓ Transcription processed on vendor infrastructure
- ↓ Text returned; audio may be retained for model training
- ↓ Patient's neurological data exists on a server you don't control
On-device neurology dictation
- ↓ Neurologist presses hotkey, begins dictating
- ↓ On-device AI transcribes with neurology vocabulary
- ↓ EMG terms, cognitive test names, drug names corrected locally
- ↓ Text typed directly into your EHR note field
- ↓ Audio never leaves your Mac or Windows machine
How neurologists use it
and fit it to their workflow
Who uses VoicePrivate in neurology
- General neurologists in outpatient practice
- Epileptologists documenting seizure type, frequency, and EEG findings
- Movement disorder specialists (UPDRS, Hoehn and Yahr)
- Cognitive neurologists and dementia specialists
- Neuromuscular specialists reporting EMG/NCS studies
- Neuropsychologists documenting battery results
- Academic neurologists with clinic and research documentation needs
The dictation workflow
- Open your EHR note in Epic, Cerner, or any web-based system
- Place cursor in the note or findings field
- Press your configured hotkey to begin recording
- Dictate naturally - EMG parameters, test scores, clinical impressions
- Release hotkey; text appears in the active field in seconds
- Edit as needed; no cloud round-trip delay
- Works offline - no Wi-Fi required in the reading room or clinic
Common neurology dictation
use cases
EMG and NCS report dictation
Dictate nerve conduction velocities, distal latencies, amplitude values, and needle EMG findings. The vocabulary set covers motor and sensory studies, H-reflex, F-wave analysis, and insertional activity documentation. No spelling required for polyphasic motor unit action potentials or fibrillation potentials.
EEG interpretation notes
Document background activity, epileptiform discharges, seizure semiology, and interictal findings at dictation speed. Terms like generalized spike-and-wave, focal slowing, breach rhythm, and IIIC patterns are recognized without spelling out each character.
Dementia and cognitive assessment
Dictate MoCA scores, MMSE subscores, Trail Making Test results, verbal fluency data, and clinical dementia rating. CDR global and box scores, FAST staging, and NPI inventory findings are all handled correctly without custom setup.
Parkinson's and movement disorder notes
Document UPDRS III motor subscores, Hoehn and Yahr staging, DBS programming parameters, and levodopa equivalent daily doses. Dystonia, tremor characterization, and tardive syndromes vocabulary included.
Stroke workup and follow-up notes
NIHSS scoring, DWI/FLAIR findings, vessel occlusion documentation, and secondary prevention plans. Stroke etiology classification (TOAST, ESUS), anticoagulation decisions, and thrombectomy procedural notes are all common dictation workflows supported.
Outpatient clinic notes
Headache classification (ICHD criteria), peripheral neuropathy workup, MS relapse documentation, and follow-up notes for chronic neurological conditions. Dictate between patients without a cloud dependency slowing you down.
VoicePrivate vs. alternatives for neurology
| Feature | VoicePrivate | Dragon Medical One | Nuance DAX | Freed |
|---|---|---|---|---|
| Audio stays on device | ✓ Always | ✗ Cloud | ✗ Cloud | ✗ Cloud |
| Works offline | ✓ | ✗ | ✗ | ✗ |
| BAA required | No - no data sharing | Yes | Yes | Yes |
| EMG/EEG vocabulary | ✓ Included | Neurology specialty add-on | General clinical NLP | General clinical NLP |
| Cognitive assessment terms | ✓ Included | Partial | Partial | Partial |
| Types into any EHR | ✓ Any text field | Integrated EHRs only | Integrated EHRs only | Native integrations only |
| Monthly price (per user) | $34.99/mo | ~$99/mo | Custom / enterprise | $99/mo |
Competitor pricing and features based on publicly available information. Subject to change.
Setup takes under five minutes
Download, install the neurology vocabulary model, and start dictating into your EHR.
M1, M2, M3, M4 Macs
Download the Apple Silicon build. The Neural Engine handles transcription with no cloud round-trip. No GPU required. Runs alongside Epic Hyperspace or any browser-based EHR.
Intel-based Macs
Download the Intel build. CPU inference is slightly slower than Apple Silicon but fully functional. macOS 13 Ventura or later required.
Windows 10 / 11
Download the Windows installer. Works with any Windows-compatible EHR including hospital-issued devices. No admin privileges required for single-user installation. Integrates with any text field.
Healthcare Edition pricing
Start with 5,000 free words - no credit card, no commitment.