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Updated: May 23, 2026

Magnetic Resonance Imaging of Multiple Sclerosis at 7.0 Tesla
Published on: February 19, 2021
A case of multiple sclerosis improvement following removal of heavy metal intoxication: lessons learnt from Matteo's
Alessandro Fulgenzi1, Sante Guido Zanella, Mario Mauro Mariani
1Dipartimento di Morfologia Umana e Scienze Biomediche Città Studi, Università degli Studi di Milano, Via L. Mangiagalli, 31, 20133 Milan, Italy. alessandro.fulgenzi@unimi.it
Abstract:
Multiple sclerosis (MS) is a chronic progressive disease of the central nervous system (CNS) provoking disability and neurological symptoms. The exact causes of SM are unknown, even if it is characterized by focal inflammatory lesions in CNS accompanied by autoimmune reaction against myelin. Indeed, many drugs able to modulate the immune response of patients have been used to treat MS. More recently, toxic metals have been proposed as possible causes of neurodegenerative diseases. The objective of this study is to investigate in vivo the impact of heavy metal intoxication in MS progression. We studied the case of a patient affected by MS, who has been unsuccessfully treated for some years with current therapies. We examined his levels of toxic heavy metals in the urine, following intravenous "challenge" with the chelating agent calcium disodium ethylene diamine tetraacetic acid (EDTA).The patient displayed elevated levels of aluminium, lead and mercury in the urine. Indeed, he was subjected to treatment with EDTA twice a month. Under treatment, the patient revealed in time improved symptoms suggestive of MS remission. The clinical data correlated with the reduction of heavy metal levels in the urine to normal range values. Our case report suggests that levels of toxic metals can be tested in patients affected by neurodegenerative diseases as MS.
Insights
This case report suggests heavy metal toxicity may contribute to multiple sclerosis (MS) progression. Chelation therapy reduced toxic metal levels and improved MS symptoms in one patient.
Area of Science:
- Neuroscience
- Toxicology
- Immunology
Background:
- Multiple sclerosis (MS) is a chronic central nervous system (CNS) disease with unknown etiology, characterized by demyelination and autoimmune responses.
- Current MS treatments focus on immunomodulation, but some patients show limited response.
- Emerging research suggests a potential role for toxic heavy metals in neurodegenerative diseases.
Observation:
- A case study of an MS patient with a history of unsuccessful conventional therapies was investigated.
- Urine toxic heavy metal levels were assessed after intravenous chelation with calcium disodium ethylene diamine tetraacetic acid (EDTA).
- The patient presented with elevated urinary levels of aluminum, lead, and mercury.
Findings:
- Following twice-monthly EDTA chelation therapy, the patient exhibited improved MS symptoms, suggesting potential remission.
- Concurrent reduction in urinary heavy metal concentrations to normal ranges was observed.
- Clinical improvements correlated with decreased levels of toxic metals.
Implications:
- This case report highlights the potential utility of testing for toxic heavy metals in patients diagnosed with neurodegenerative conditions like MS.
- Heavy metal intoxication may be a contributing factor in the pathogenesis or progression of MS.
- Further research into the link between heavy metals and MS is warranted to explore novel therapeutic strategies.
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