Facial Twitching: Causes and When to Seek Help

Q: Facial Twitching: Causes and When to Seek Help

Hello： Eyelid movement is controlled by the facial nerve. <br>If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. <br>If only the eyelid is affected and other facial muscles are not twitching, it is considered simple e

Facial spasms

Hello, I would like to ask about a twitching sensation on the left side of my cheekbone or just above the corner of my mouth.
It occurs a few times a day, about 3 to 4 times, each lasting around 3 seconds.
Sometimes there is a slight twitching feeling, but it doesn't fully manifest.
It happens approximately 3 to 4 times a day.
I would like to know if this is facial spasms, as I also experience occasional eyelid twitching about once a day, but my blinking and closing my eyes feel normal.
Thank you, doctor.

Xiang, 20~29 year old female. Ask Date: 2020/05/21

Dr. Jiang Junyi reply Neurology

Hello: Eyelid movement is controlled by the facial nerve.
If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles.
If only the eyelid is affected and other facial muscles are not twitching, it is considered simple eyelid twitching.
If other muscles are also twitching, it may indicate facial nerve spasms.
The majority of cases of eyelid spasms have unknown causes, and they occur more frequently in women, approximately three times more than in men.
Common causes include dry eye syndrome, high levels of stress, eye inflammation, light sensitivity, consumption of stimulants such as caffeine and tobacco, dysfunction of the basal ganglia, Parkinson's disease, and certain psychiatric medications.
The most common cause of hemifacial spasms is compression of the seventh cranial nerve by blood vessels or tumors in the cerebellopontine angle.
Some patients may benefit from muscle relaxants, while more severe cases may require botulinum toxin injections.
Your symptoms seem more like simple muscle twitching, so it is advisable to reduce the intake of caffeine, which can stimulate the nervous system, and to avoid maintaining the same posture for too long to prevent nerve inflammation.
I recommend that you consult a neurologist for discussion and treatment.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Medical Center cares about you.

Reply Date: 2020/05/21

More Info

Facial twitching, also known as facial spasms or facial tics, can be a concerning symptom for many individuals. Based on your description, it seems that you are experiencing involuntary movements or twitching in the left side of your face, specifically around the cheekbone and mouth area. These episodes occur several times a day and last for a few seconds each time. While occasional facial twitching can be benign, it is essential to understand the potential causes and when to seek medical attention.

Causes of Facial Twitching
1. Benign Essential Tremor: This is a common condition that can cause involuntary shaking or twitching in various parts of the body, including the face. It is usually harmless and may not require treatment.

2. Facial Nerve Disorders: Conditions affecting the facial nerve, such as Bell's palsy or facial nerve irritation, can lead to twitching or spasms. Bell's palsy is characterized by sudden weakness or paralysis on one side of the face, often accompanied by twitching.

3. Stress and Anxiety: Emotional stress can manifest physically in various ways, including muscle tension and twitching. If you are experiencing increased stress or anxiety, this could be a contributing factor.

4. Fatigue and Lack of Sleep: Insufficient rest can lead to muscle fatigue, which may result in twitching. Ensuring you get adequate sleep can help alleviate this symptom.

5. Caffeine and Stimulants: Excessive consumption of caffeine or other stimulants can lead to muscle twitching. Reducing your intake may help.

6. Neurological Conditions: In rare cases, facial twitching can be a sign of more serious neurological conditions, such as multiple sclerosis or dystonia. These conditions often present with additional symptoms, so it is crucial to monitor any changes.

When to Seek Help
It is advisable to seek medical attention if you experience any of the following:
- Persistent Symptoms: If the twitching continues for an extended period or worsens over time, it is essential to consult a healthcare professional.

- Associated Symptoms: If you experience other symptoms such as weakness, numbness, difficulty speaking, or changes in vision, seek immediate medical attention, as these could indicate a more serious condition, such as a stroke.

- Impact on Daily Life: If the twitching interferes with your daily activities or causes significant distress, it is worth discussing with a doctor.

Conclusion
While occasional facial twitching can be benign, it is essential to pay attention to the frequency, duration, and associated symptoms. If you have concerns about your facial twitching, especially given its recent onset, it would be prudent to consult a neurologist or healthcare provider. They can perform a thorough evaluation, including a physical examination and possibly imaging studies, to determine the underlying cause and recommend appropriate treatment if necessary.

In summary, while your symptoms may not be alarming, staying vigilant and seeking medical advice when needed is crucial for your peace of mind and health. Remember, early intervention can often lead to better outcomes, especially if there is an underlying condition that requires treatment.

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