Face Is Twitching
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Reviewed By:

Bret Mobley, MD, MS

Bret Mobley, MD, MS (Neuropathology)

Dr. Mobley graduated from the University of Michigan Medical School, completing a masters degree in neuroscience between his second and third years of medical school. He trained as a resident in pathology at Stanford University Hospital before joining the faculty of Vanderbilt University Medical Center in Nashville Tennessee in 2010. He was promoted to Associate Professor in 2018 and to Neuropathology Division Director in 2020.

Shohei Harase, MD

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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Content updated on Jan 4, 2023

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  • Facial spasms occur more frequently when I am tired

  • Face is twitching

  • My face twitches more when I am tired

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About the Symptom

Involuntary movements or twitching of facial muscles. Spasms may occur due to nerve injury or irritation, such as from a pulsating blood vessel.

When to see a doctor

Seek professional care if you experience any of the following symptoms

  • Convulsions on the face

Possible causes

Generally, Face is twitching can be related to:

  • Neuromyelitis Optica (NMO)

    Neuromyelitis optica (NMO) is a rare condition in which the immune system damages the spinal cord and the optic nerves.

  • Multiple sclerosis (MS)

    Multiple sclerosis (MS) disease in which the immune system attacks parts of the brain and spinal cord. The direct cause of MS remains unknown, but certain risk factors have been identified such as low vitamin D levels, tobacco smoking, exposure to UV radiation, childhood obesity, and infection with the virus that causes mononucleosis. The disease tends to affect young people more commonly as well as people living in higher latitudes. MS typically occurs in "attacks" which can include but are not limited to painful eye movements, blurry vision in one eye, numbness or weakness in hands or feet on one side, or double vision.

  • Muscular dystrophy

    Muscular dystrophy (MD) is a group of diseases causing progressive weakness and muscle wasting. It is caused by mutated genes that normally allow healthy muscles to form. Different types of MD can appear at different ages, ranging from childhood to adulthood, and also present different levels of severity and clinical manifestations.

Related serious diseases

Sometimes, Face is twitching may be related to these serious diseases:

  • Tetanus

    A life-threatening infection caused by a bacteria called Clostridium tetani. The bacteria releases toxins that affect the nervous system and cause muscles in the body to contract and "lock up". The bacteria are everywhere in the environment and enter the body through open wounds. Risk factors include being immunosuppressed, not being vaccinated against tetanus (or not keeping up with booster shots), and having open wounds or cuts.

  • Hypocalcemia

Doctor's Diagnostic Questions

Your doctor may ask these questions to check for this symptom:

  • Do you have facial twitching or spasms?

  • Do facial spasms increase when tired?

  • Do you have headaches or a heavy feeling in your head?

  • Do your arms or legs feel weak?

  • Do you feel any numbness or altered sensation?

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Find Similar Symptoms

Similar symptoms or complaints

Reviewed By:

Bret Mobley, MD, MS

Bret Mobley, MD, MS (Neuropathology)

Dr. Mobley graduated from the University of Michigan Medical School, completing a masters degree in neuroscience between his second and third years of medical school. He trained as a resident in pathology at Stanford University Hospital before joining the faculty of Vanderbilt University Medical Center in Nashville Tennessee in 2010. He was promoted to Associate Professor in 2018 and to Neuropathology Division Director in 2020.

Shohei Harase, MD

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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