Twitching in the Face and Tingling

A 47-year-old male presented with left-sided facial paraesthesia (tingling) and facial spasms (twitching). The symptoms began 2 months ago, primarily affecting the left cheek. Initially, they were purely motor in nature without any sensory deficits, but within 2 weeks, sensory symptoms developed. The patient did not experience any facial droop or speech impairment initially but he felt that his left side of his mouth was “droopy” now. He also reported left-sided dental pain. Prior to symptom onset, the patient experienced mild head trauma to the occipital region. Over time, the symptoms worsened in frequency, and at the time of examination spasms also involved the left side of the neck.