The patient had a stroke in the brain, which stopped neural signals from travelling through the body. The electrode bypassed these channels and sent the thought signals to an FM receiver outside the body to a speech synthesizer via a neural decoder
From The Daily Mail:
A revolutionary new device that reads a person's thoughts and turns them into speech could soon change the lives of paralysed patients around the world.
The Neuralynx System is being developed by a team of scientists led by Professor Frank Guenther at Boston University.
Users will simply have to think of what they want to say and a voice synthesizer will translate the thoughts into speech almost immediately.
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