Hi Nathan. What you describe is actually quite common in otherwise healthy individuals. There are no red flags in your description for ALS, MS or a glioma. These things are not that common and present differently.
Are you experiencing any pain, numbness or tingling?
There are a couple cranial nerves that supply sensation and control muscle function in the face. They are like branching trees coming off the brainstem (at the base of the brain) and passing through tiny openings in the skull into the face and mouth.
They send tiny branches to the gums and all the teeth, especially the trigeminal nerve (cranial nerve #5).
If you suddenly injure one of these branches, it can ramp up other branches and make them hypersensitive. This can linger for many weeks or months. The peripheral nerves repair and regenerate very slowly.
There can also be cross-over to the facial nerve that controls muscle activity. This can lead to twitching or spasms.
What you're describing sounds like fasciculations of the facial nerve (cranial nerve #7). This is an indication of neuromuscular irritability, most likely from the repair process going on in the injured nerve or nerve branches.
Websites tend to jump to the worst scenario diagnoses.
MS and gliomas do not typically present in this way.
Besides, it started after you bit into that sandwich, so you have a "precipitating event".
The best thing to do is to get good sleep, eat a balanced diet, take an anti-inflammatory a couple times daily, and a B-complex or multivitamin daily.
You should notice a slow improvement (i.e. less severe and less frequent spasms) over the course of the next 2 months.
You're welcome. Hope all works out for the best for you.
Did you have any further questions?
One thing you could ask your doctors about is a nerve-stabilizing medication to help calm down the trigeminal and facial nerves.
One is called gabapentin and another is pregabalin. These would likely help with your symptoms if they are distressing or annoying. You would likely not need the medication for more than 2 or 3 months.
But don't worry about MS and glioma and the like. These would not explain your symptoms.
You're going to do fine. This will improve. Work with your doctors. Keep them posted as to your symptoms. They will guide you from here. :-)
Are you still there, Customer?
Sorry I missed your final remarks. I had gotten nervous because I had stumbled upon some information about facial myokymia, which in said literature appeared to be more indicative of serious problems. It also seemed to fit nicely with my twitching symptoms, particularly the combined twitching and feeling of fullness. So I guess I was just generally wondering about this information. Other than that, I have no further questions, and I appreciate your help. I've never really done this before, but I guess I would, after this question, consider the conversation closed. Thank you again.
Facial myokymia is usually more or less continuous. It is a sign of demyelination, which can occur from nerve injury as well as more sinister causes in the brainstem.
I don't think you should worry about this as it is not commonly the presenting feature of MS or brainstem lesions. If it persists more than another 3-4 weeks, you could ask your doctor to order an EMG (electromyogram) to look at where the nerve problem is coming from.
Thank you. Have a great day.
Thank you for all of your help. If you wouldn't mind, when you say that "myokymia" is more or less "continuous," does that mean that the tremors would be more or less continuous (without very little interruption), or does that mean that the feeling of tightness in my face, combined with period tremors, would be more or less continuous?
sorry, "periodic" instead of "period."
I gathered that. More specifically, my question was how I'm supposed to know the difference between Myokymia and fasculations. At first you said that Myokymia was more or less "continuous." in this recent response, you state that it "tends to come and go." So I suppose I'm not sure what you mean.