Mon - Fri: 8:00AM - 5:00PM
Monday – Friday8:00AM - 5:00PM
Saturday Open for MRI
Sunday Closed
Migraine treatment same day as your first appointment.
Visit our Healow Portal
Visit our Healow Portal Call 214-619-1910
CALL 214-619-1910

Symptoms and Causes of Twitching Face 

Sandeep Dhanyamraju MD
Medically reviewed by Sandeep Dhanyamraju
Book appointment
Sandeep Dhanyamraju MD
Medically reviewed by Sandeep Dhanyamraju

A hemifacial spasm is segmental myoclonus of the muscles. The disease occurs between the ages of 50 and 60. It almost always occurs on one side. Although doctors sometimes see bilateral involvement in severe cases. Face twitching usually begins with short clonic movements of the circular eye muscle and, within a few years, spreads to other facial muscles (frontal, subcutaneous, zygomaticus, etc.). Clonic movements gradually progress to steady tonic contractions of the muscles involved. Chronic irritation of the facial nerve or nucleus can occur for various reasons.

The facial musculature is subject to motor disorders like the limb or trunk muscles. Myoclonus, dystonia, and other disorders manifest as specific syndromes in the facial musculature. Also, the neurological disease can be one of the facial twitching causes. A clear understanding of the mechanism of the disorders allows for proper diagnosis. Read our article below to learn more about this condition.

Hemifacial Spasm Symptoms

Facial spasms characterize a spontaneous hemifacial spasm. They are myoclonic spasms and resemble segmental myoclonus. Involuntary movements of the facial muscles are the only hemifacial spasm symptoms. Fatigue, anxiety, or reading can precipitate the movements. Postparalytic hemifacial spasm manifests as facial synkinesia and contractures. The muscles on the affected side of the face twitch involuntarily. This usually starts with the eyelids and then spreads to the cheeks and mouth. The cramps may be intermittent initially but then become almost constant. Moreover, this disorder can lead to the worsening of other issues in the organism. As headaches can occur during a hemifacial spasm.

Hemifacial spasm is painless but may be uncomfortable and look like a seizure. The twitching may occur at first but may become permanent. It affects people’s lives in the community. It is important to have professionals who can help identify this condition. Below you can see more information.

Involuntary twitching or spasms of the facial muscles

The overstimulation of the facial nerve cause muscle spasms in the face. It controls the movement of the muscles on one side of the face. The spasms can vary in intensity and duration. Certain movements or activities may trigger them. Over time, the twitching may spread to involve other facial muscles on the same side. It will be difficult to control facial expressions.

Twitching or spasms that can occur at any time

Common triggers include speaking, eating, yawning, or even just smiling. In some cases, the triggers may become so severe. They significantly impact daily activities and quality of life. This is because these actions require the activation of the facial muscles. They can overstimulate the affected nerve and lead to involuntary face twitching or spasms.

Progression of twitching to other parts of the face

The hemifacial spasm can progress over time to involve other parts of the face. The overstimulated nerve responsible for controlling the facial muscles causes facial twitching. Also, it can cause involuntary contractions of the muscles in those areas. As the condition progresses, the twitching may become more frequent and widespread.

Eye problems

Eye problems are common hemifacial spasm symptoms in people. Particularly it happens on the side of the face where the twitching or spasms occur. The involuntary contractions can affect the eyelid. It causes difficulty keeping the eye open or involuntary eye closure (blepharospasm). This can interfere with vision and cause problems with reading or driving. Additionally, the affected eye may tear too much due to the stimulation of the lacrimal gland. 

Headaches or facial pain

Headaches or facial pain can occur in people with hemifacial spasms. Facial muscle spasms can cause tension and strain on the muscles. It results in discomfort and pain in the affected area. Also, repetitive or hemifacial spasms can cause stress and tension, leading to headaches or migraines.

what causes face twitching

What neurological causes facial twitching?

The triggering factor for the development of muscle spasms in the face may be:

  • neurological problems;
  • infections;
  • tumors;
  • vascular lesions;
  • psychological disorders, and medications.

Tics involving the facial muscles can affect different areas of the face. For example, blepharospasm which characterized by intense blinking and squeezing of the eyes. The development of the disease usually occurs gradually. The initial sensation of irritation is then followed by:

  • blinking;
  • episodes of prolonged squeezing. 

The involuntary movements may disappear in a unique environment. This type of hemifacial spasm  occurs with neurological diseases of the brain:

Facial twitching is most often a manifestation of hyperkinesias and neurological syndromes. They are more common regarding muscle coverage. These include the well-known Tourette’s syndrome, characterized by:

  • motor and vocal tics;
  • attention deficits;
  • obsessive-compulsive states. 

In boys, tics are more often combined with attention deficit hyperactivity disorder. In girls, it occurs with obsessive-compulsive disorder. Read below for more information about this disorder.


Dystonia is a movement disorder characterized by involuntary muscle contractions. They cause twisting, repetitive movements, or abnormal postures. It can affect any body part, including the face, neck, limbs, and trunk.

Parkinson’s disease

Parkinson’s disease is a progressive neurological disorder that affects movement and motor control. It can become one of the causes of facial twitching. This disorder is usually accompanied by the degeneration of dopamine-producing cells in the brain. It results in the characteristic symptoms of tremors, rigidity, and bradykinesia (slowed movement). Parkinson’s disease can also cause non-motor symptoms, such as:

  • depression;
  • anxiety;
  • cognitive changes.

Multiple sclerosis

Multiple sclerosis (MS) is a chronic neurological disease. And it can lead to muscle spasms in the face. It affects the central nervous system, including the:

  • brain;
  • spinal cord;
  • optic nerves. 

MS occurs due to damage to the protective covering of nerve fibers, known as myelin. It disrupts the normal flow of electrical impulses between the brain and the rest of the body.

Huntington’s disease

Huntington’s disease (HD) is an inherited genetic disorder. It affects the brain and causes a progressive decline in all functions. A mutation in the HTT gene on chromosome 4 produces a mutant form of the huntingtin protein. The mutant protein accumulates in the brain, causing damage to nerve cells. So as a consequence, a person may experience face twitching.

Tourette syndrome

Tourette syndrome (TS) is a neurological disorder characterized by:

  • repetitive, involuntary movements;
  • vocalizations called tics. 

Hemifacial spasms associated with Tourette syndrome can be classified as simple or complex. Simple tics involve sudden movements or sounds, such as:

  • eye blinking;
  • facial grimacing;
  • throat clearing. 

Complex muscle spasms in the face involve a coordinated sequence of actions or sounds. It can be touching or smelling objects and repeating words or phrases.

Bell’s palsy

Bell’s palsy is a type of facial paralysis that results in temporary weakness or paralysis of the facial muscles on one side of the face. So this disease can be one of the facial twitching causes. 

The exact cause of Bell’s palsy is not fully understood. But doctors think that it is probably related to inflammation or swelling of the facial nerve. As it controls the muscles of the face. Symptoms of Bell’s palsy typically develop suddenly and can include:

  • weakness or paralysis of the facial muscles on one side of the face;
  • drooping of the mouth or eyelid on the affected side;
  • difficulty smiling or closing the eye on the affected side;
  • altered sense of taste or dryness of the mouth or eye on the affected side;
  • pain or discomfort around the jaw or behind the ear on the affected side.

When should I worry about face twitching?

Facial twitching can be a common and harmless occurrence. But in some cases, it may show an underlying neurological condition or health issues. You should seek medical attention if your facial twitching is severe or persistent. Turn to the doctor if your condition is accompanied by any other symptoms, such as:

  • weakness or paralysis in the face;
  • changes in vision or hearing;
  • difficulty speaking or swallowing;
  • headaches or migraines;
  • unexplained weight loss;
  • seizures;
  • numbness or tingling in other parts of the body;
  • difficulty with balance or coordination.

If your hemifacial spasm interferes with your daily activities or causes you significant discomfort, you should also seek medical advice. Your healthcare providers can perform a physical examination. They order diagnostic tests, such as:

  • an MRI;
  • electromyography (EMG).

It will determine the underlying cause of symptoms and an appropriate treatment plan.

Lone Star Neurology is your trusted partner in managing muscle spasms in the face and other neurological conditions. Our team of board-certified neurologists and experienced healthcare professionals offers personalized care and cutting-edge treatments to help you achieve optimal neurological health. Contact us today to schedule an appointment and take the first step towards a healthier, happier you.


  • Can a brain tumor cause facial twitching?

Yes, a brain tumor can cause facial twitching, as it can disrupt the normal function of the nervous system and affect the facial nerves and muscles.

  • Can anxiety cause twitching in face?

Yes, anxiety can cause twitching in the face and other parts of the body. Stress and anxiety can trigger the release of certain hormones. As it can affect the nervous system, leading to muscle tension and twitching.

  • Is facial twitching a seizure?

Facial twitching is not necessarily a seizure, although seizures can sometimes involve facial twitching as a symptom. Seizures are caused by abnormal electrical activity in the brain, which can result in a wide range of symptoms depending on the area of the brain affected.

  • How do you stop a nervous facial tic?

Sometimes a change in daily routine, adequate sleep, and rest are enough. When treating a nervous tic of the eye or face, simple exercises can help. However, we recommend that you see a neurologist.

1 Star2 Stars3 Stars4 Stars5 Stars (No Ratings Yet)
Be the first to write a review
Lone Star Neurology
Based on 905 reviews
powered by Google
Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
More reviews

Please, leave your review


Write a comment:

Book appointment