Common symptoms of hemifacial spasm include twitching or contracting of muscles in the face that are usually:  On one side of the face Uncontrollable Painless  These contractions often start in the eyelid, then may progress and affect the cheek and mouth on the same side of the face. At first, hemifacial spasms come and go. But eventually, usually over the course of several months to a few years, they occur almost constantly. Occasionally, hemifacial spasms may occur on both sides of the face. However, the twitching doesn't occur on both sides of the face at the same time. Causes Hemifacial spasm is most often caused by a blood vessel touching a facial nerve. It can also be caused by a facial nerve injury or a tumor. Sometimes there's no identifiable cause. Hemifacial spasm may sometimes be triggered by:  Moving the muscles in the face Anxiety Stress Fatigue                   By Mayo Clinic Staff By Mayo Clinic Staff  Hemifacial spasm care at Mayo Clinic 
common symptoms hemifacial spasm include twitching contracting muscles face usually:  side face uncontrollable painless  contractions start eyelid  may progress affect cheek mouth side face  first  hemifacial spasms come go  eventually  course months years  occur constantly  occasionally  hemifacial spasms may occur sides face  however  twitching doesn't occur sides face time  causes hemifacial spasm caused blood vessel touching facial nerve  can caused facial nerve injury tumor  there's identifiable cause  hemifacial spasm may triggered by:  moving muscles face anxiety stress fatigue                   mayo clinic staff mayo clinic staff  hemifacial spasm care mayo clinic 
hemifacial spasm