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