Is It a Twitch or a Spasm? Recognizing the Early Signs of Hemifacial Spasms

Woman touching her eye from hemifacial spasms in Dallas, TX If you’ve ever experienced an uncontrollable flicker in your eye or a sudden tug at the corner of your mouth, you might wonder—is it just a twitch or something more serious? These facial movements can sometimes be early signs of hemifacial spasms, a neurological condition that causes involuntary muscle contractions on one side of the face.

At Texas Neurosurgery, LLP, our experienced neurosurgeons take a personalized approach to diagnosing and treating conditions like hemifacial spasms, working closely with patients and their primary care doctors to determine the most effective care plan. Based in Dallas, our team is committed to helping patients fully understand their condition and explore the best treatment options.

What Is a Hemifacial Spasm?

A hemifacial spasm typically begins subtly, often with a minor twitching in the lower eyelid. Over time, the twitching may become more frequent and intense, eventually spreading to other muscles on the same side of the face. These spasms can affect the cheek, mouth, and even the neck, resulting in sustained or jerky facial movements that can interfere with daily life.

Twitch vs. Spasm: What’s the Difference?

Facial twitches—also known as myokymia—are usually brief, harmless, and related to stress, fatigue, or caffeine. They tend to come and go and don’t typically spread beyond the eyelid.

Spasms, on the other hand, are more persistent and may worsen over time. In hemifacial spasms, contractions often start in the eye area but progress to other facial muscles. These spasms may occur even during rest or sleep, and unlike twitching, they don’t go away on their own.

When to See a Neurologist

It may be time to talk with a neurologist if your facial movements:

  • Occur frequently and without an obvious trigger
  • Worsen over time
  • Involve more than just the eye
  • Cause discomfort or embarrassment

Hemifacial spasms are often from irritation or compression of the facial nerve, usually by a nearby blood vessel. Imaging tests like an MRI can help pinpoint the cause.

Find Relief From Hemifacial Spasms in Dallas, TX

Recognizing hemifacial spasms early gives you more options for effective treatment—ranging from Botox injections to surgical decompression. If you notice persistent or spreading facial movements, don’t brush them off. Call us today at 214-823-2052 to schedule a consultation. A proper diagnosis can help you regain comfort and control in your daily life.

Our Location

DALLAS

6080 North Central Expressway Ste. 150
Dallas, TX 75206
(We sit behind the Beeman Hotel)

Accessibility Toolbar