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Neurological diagnostic information management for clinical applications requires significant collaboration among clinicians and integration of data in different forms, such as textual records, monitoring video, recorded physiological waveforms, and diagnostic images. In medical settings, these multimedia data are often generated in large amounts and are routinely compared and examined. In order to manage this type of information efficiently, an advanced information management system is investigated which handles not only the traditional textual and pictorial information, but also manages audio and video. This information system utilizes the newly developed MPEG-7 standard (multimedia content description interface standard) which provides a context-based platform for our application. In addition, MPEG-7 allows medical information to be accessed remotely and securely through the Internet.