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What Causes Involuntary Muscle Twitching In The Forehead?

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Posted on Mon, 18 Sep 2017
Question: Male 27.XXXX For the last hour or so I've experienced a symptom where a muscle in the upper middle part of my forehead moves involuntarily. XXXX It has been coming and going and I'm getting these moves every few seconds. XXXX
It's rather frustrating and makes for a strange sight.XXXX
I'll be glad to read your input. XXXX Thanx

To Note here I did go to the emergency room a while back as my right eye was swollen when I woke up

Hospital said it wasn't a big issue and prescribed me Cindamycinhcl 150 MG

Also I did buy and took one of these vitamins last night

Doctor's Best High Potency Serrapeptase, Non-GMO, Gluten Free, Vegan, Supports Healthy Sinuses, 120,000 SPU, 90 Veggie Caps XXXX


Is there something more going on with me?
doctor
Answered by Dr. Ishu Bishnoi (1 hour later)
Brief Answer:
Muscle fasciculations most likely

Detailed Answer:
Hi XXXX, thanks for asking from HealthcareMagic.


I can understand your concern. As per your description, I can say that you had involuntary muscle flickers also known as muscle fasciculations. Muscle fasciculations can occur due to many causes

- Physiological causes (not serious)

: Lack of sleep
: Excessive exercise and less rest
: Mental stress
: Overdose of caffeine (excessive tea or coffee)

- Pathological causes (serious)

: Myopathy like congenital myopathy, drug induced
: Autoimmune disorder like
: vitamin deficiency like vitamin D, B12
: Amyotrophic lateral sclerosis
: Spinal muscular atrophy

After ruling out physiological causes and to know the cause, you should undergo neuromuscular examination and few investigations

- EMG and NCV studies
- Muscle enzyme, CPK-MM level
- If diagnostic confusion, then muscle biopsy
- a blood level of vitamin D and B12 level

I think you may be having some physiological cause. It can be stress or lack of sleep. Wait for some time and take rest. You should get relief. Also, avoid coffee or tea for the time being.

Hope it will help you. If still in doubt, do let me know.
Thanks. Take care.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Ishu Bishnoi (36 hours later)
Do you recommend seeing a neurologist? What are the next steps you think is best to take?
doctor
Answered by Dr. Ishu Bishnoi (30 minutes later)
Brief Answer:
neurological examination

Detailed Answer:
Hi XXXX, welcome back.


Yes, I recommend consultation with neurologist. He/she will examine your neurological system after taking relevant history. This is the next step. After it, differential diagnosis can be narrowed down.

Next step will be investigations if non-physiological cause. I have mentioned the necessary investigations in previous answer. After confirming diagnosis, correct treatment will be started.

Hope it will help you. If still having doubts, do let me know.
Thanks. Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

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What Causes Involuntary Muscle Twitching In The Forehead?

Brief Answer: Muscle fasciculations most likely Detailed Answer: Hi XXXX, thanks for asking from HealthcareMagic. I can understand your concern. As per your description, I can say that you had involuntary muscle flickers also known as muscle fasciculations. Muscle fasciculations can occur due to many causes - Physiological causes (not serious) : Lack of sleep : Excessive exercise and less rest : Mental stress : Overdose of caffeine (excessive tea or coffee) - Pathological causes (serious) : Myopathy like congenital myopathy, drug induced : Autoimmune disorder like : vitamin deficiency like vitamin D, B12 : Amyotrophic lateral sclerosis : Spinal muscular atrophy After ruling out physiological causes and to know the cause, you should undergo neuromuscular examination and few investigations - EMG and NCV studies - Muscle enzyme, CPK-MM level - If diagnostic confusion, then muscle biopsy - a blood level of vitamin D and B12 level I think you may be having some physiological cause. It can be stress or lack of sleep. Wait for some time and take rest. You should get relief. Also, avoid coffee or tea for the time being. Hope it will help you. If still in doubt, do let me know. Thanks. Take care.