Facial Fasciculations: Neurologist Visit

As I mentioned in another thread, I'm currently suffering from a twitch on the bottom right lip. Along with that I'm experiencing some tightness in my cheeks and some minor headaches. I am being setup with an appointment to see a Neurologist and I'm not sure what to expect.My question is to those people who presented with facial fasciculations when they first saw a Neurologist, how many of you underwent an MRI?
 
I was sent for an MRI before anything else, then blood work, but it had nothing to do with facial twitches, just twitches and other symptoms as a whole.
 
When I first went to the neurologist I was twitching all over my entire body, about 1 every 30 seconds all day long. It was very bad in my entire face. Both eyelids, ( and I mean they would get stuck in a halfway shut position when I would blink even) My right temple area, both sides of my jaw, my lips, nose, cheeks etc.... along with random twitches throughout my body, my entire legs on both sides were really bad as well. My first neuro said," you have cervical myelopathy, I recommend and MRI of the cervical spine." Cervical myelopathy is just a general term for a diseased spine, doesn't mean anything ominous necessarily. It turned out that I do have issues with my cervical spine. I have a bulging disc, bone spurs, and an issue with my spinal cord in that area that I was likely born with. Turns out though that my first neuro and second both decided that these weren't significant enough to cause the twitching. From what I have read the MRI's are just standard procedure to check for any past or present injuries you might have sustained to your brain or spine. Have you read BFS in a nutshell? If you haven't I highly suggest reading it, it saved my sanity. I started twitching this past July. I ended up pregnant 3 months into it and have been told that there isn't any emergency and to come back after the baby is born to get MRI of brain and spine if I want. Key word if i want too. The neuros I have seen were not worried about my twitching at all and said there was no way it was ALS. Facial tics have a lot to do with stress and anxiety. I know so many people who get these and don't have BFS, although I guess the facial tics could be considered a mild form of BFS. I am not an expert, but this does sound like BFS and I am so glad for you that you aren't experiencing them all over and to the degree that most of us are. I am not saying this to disregard any concerns you have about your twitching, I am really sorry that you are twitching at all, it can be very troublesome, I just really think that you are okay. Try to relax about the MRI it's just standard. About the MRI itself, I had an open one and it was no trouble at all, but I did take some sedative just before it, just incase. It's probably a good idea if you did this as well. Good luck, let us know how it goes.Tanya
 
I have them and have a very very clean MRI of the brain with contrast. They did not even find one little thing wrong with my head....LOL....physcially that is. Anyway, stress will do just the same and worrying about a brain tumor is fing stressful. Ask everyone around here, most worry about ALS and that can cause twitching and tics by itself. Stress really is a killer man.
 
APK, You are not annoying. I hope I didn't cause you to feel this way and I am sorry if I did. You are in the right place. We all have had and still do to some degree this anxiety, especially when looking up symptoms on the internet, which if you are still doing I would kindly suggest to stop, LOL :) I hadn't read your story so I wasn't sure if youwere twitching everywhere else as well. I am so sorry that you are, it really stinks. The fact that you are twitching in other places just suggests to me that it is even more reason to believe that it is BFS. When I first developed this it was in my face first, then it spread also while staying in my face. It spread to where my hotspot was in my calves and knees and shins on both sides. Now my hotspot is both hands and all fingers and sometimes both feet and most of my toes. From what I have experienced and read, it seems to migrate and affect some areas for a while to a strong degree also while continuing to "pop" (as you described it) in random places throughout your body throughout the day. This describes my experience to a T. I guess your main question was about being told you needed and MRI. That strikes fear for sure, but It seems we have all been told this and it's one of the first things a neuro will start with. I have read they will even do this even if they don't really think you need one. Anyway, my right eye and right temple and right eyebrow also have consistent flair ups. Even if they aren't flared up I suffer from some kind of twitch on my face everyday from lips to nose to chin to forehead, to scalp etc... I think you get the picture. Keep us updated. Take care,Tanya
 
I first manisfested twitching with a 2 week non stop and I mean not a second, twitch in the corner of my mouth. My Neruologist sent me for and MRI and an MRA to rule out ms or hemifacial spasm. When it showed up clean and the fasiculations spread to the rest of my body he diagnosed me with bfs. I waited a year and requested an emg even though he told me I did not need one and it was clean. So an MRI is normal procedure for a lot of things and you can twitch anywhere and everywhere with bfs. My neurologist told me any muscle is fair game and when I asked him why I get so many in my face he said it was all a part of it and was not even concerned with them. Don't worry you are bfs normal. :D) Mary
 
APK, you do not have MS or a Brain Tumor, you might as well knock both of them of your worry radar because you are literally stressing and worrying about those two issues for no good reason. One of the most common causes of facial tics and facial twitches is stress and anxiety. If you havent ran across that yet on your internet searches, then you are blocking it out because its all over the net. Yes brain tumors or MS can cause them, but those conditions come with a whole other symptom list and clinical signs that you clearly do not have, trust me. Why not look at the most common cause for facial twitches (anxiety) because you already know for a fact that you have that.Dont spend your next 3 months of your life searching for a condition that you dont have. Try focusing on what you already know you do have, and tackle that. If you did that for 3 months, you yourself, may not even find it necessary to see that neurologist, because I can promise you, he isnt going to find anything sinister.Take care, sorry if I sounded harsh, just cant stand to see someone do what I and so many others have done.Robynn :D)
 
I hear what you're saying, and I'm going to try and master this anxiety thing over the next few months, as it's the only thing I have any control over. The last couple of days have brought on a new symptom. At about 4am my lower left leg had a spasm, or what I think is a myoclonic jerk. I've had cramps in my calves for years, and they can be painful, but this was different. It felt like an electric shock that ran down my left calve and into my foot, causing my foot to twist around for a quick second. It wasn't painful and it only happened the one time, but it sure freaked me out.I am also experiencing an intermittent tremor in my right hand. There's no weakness just once in a while I notice my right forearm has very a small tremor and subtley shakes for a few minutes, then disappears.And finally, the last few days in the afternoon I get this very cloudy, fuzzy headed feeling. It's difficult to describe. It's not a headache and I don't feel the need to take any pain medication. It's just this sort of cloudy numbness. Yesterday I was able to clear it up a bit by doing some breathing exercises though it didn't entirely disappear.Is all of this BFS normal?
 
Yes APK, all of that is completely BFS normal. There are several of us who have experienced what you are experiencing. I know you are worried, and its normal to have extra anxiety when you have to wait to see a neuro, but my best recommendation is to stay busy while you await your appointment. I really think you are ok, I really do. The cloudy, fuzzy headed feeling that you are experiencing is called Brain Fog and its quite common with prolonged anxiety or stress. Meditation really helped me with this symptom when I was dealing with it alot back over the summer. Be sure that you are doing all you can to get proper rest at night as well, as being sleep deprived will only intensify this symptom, believe me.Take care, and we are here to support you up to your appointment and past if you need us.Robynn :D)
 
Another appointment with the doctor today, shared my new symptoms (tinnitus, foggy head, ankle clonus and some tremors) and he is pretty confident most of it is anxiety. He gave me a whopping 1% chance of a brain tumor but ordered an MRI to help alleviate my anxiety and fears. So I should know something in a few weeks.In the mean time I'm going to try to relax and look at things from a more logical point of view. Thanks again guys.
 
APK, since when did you develop ankle clonus?? I dont remember seeing it in any of your posts...Did your doctor find the ankle clonus during your vistit??Let me know, if you dont mind sharing that is.Take careRobynn :D)
 
Yeah thats really not ankle clonus for sure. So no worries. I have ankle clonus, be happy you dont. It weighs on my mind, or I should say it used to weigh on my mind pretty heavy. These days, its not as active as it once was so I was told it was not pathological. But I still dont like knowing it was there.You're going to be ok, I promise, we have all been where you are.Take careRobynn :D)
 
okay, I don't know what clonus is, and maybe don't tell me. But, I do get the jerks. Like, my shoulder will jerk or a wrist, or ankle... I don't get these as much as twitching, but I do occasionally get them. I did have a period of time where it was happening a lot at night. so this would be myoclonus then?
 
Yes HoneybeeBzzz, that is most likely myoclonic jerks. Ankle clonus is something totally different, and has to do with reflexes. No worries HoneybeeBzzz, you are BFS normal. :D)
 
After 2.5 months, amazingly my lip seems to have calmed down. No real twitches in that area to speak of for the last few days (Though I know I'm going to jinx it with tis post). Still twitching in other areas but I'm fine with that. Now if I could get rid of this headache, tinnitus and dizziness. I'm hoping the headache, tinnitus and dizziness are from the prolonged anxiety I've been feeling. Though I've felt less anxious the last couple days and it hasn't done anything to relieve those symptoms.Does anyone know if it take a while for anxiety symptoms to fade off, or is this something I should notice immediately?
 
I lucked out and got in on an MRI cancellation just 5 days after my referral. Strange experience as I'm sure most of you know. I'm not claustrophobic, so I wasn't nervous, but I hadn't expected the wide variety of sounds that would emanate from the machine. It was a trippy sci-fi-esque experience. Now to wait for the results *gulp*.
 
Wow, this waiting for results really does a number on me. Woke up this morning and my tinnitus is as loud as ever and I find it a bit harder to convince myself there's nothing to worry about. I keep reminding myself the Doctor gave me only a 1% chance of finding a brain tumor. But those doubts and insecurities seem to be gaining steam. I'd love to just take a week long nap and wake up just in time to hear these results.
 

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