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Facial muscle spasm/twitching

My wife is 44 and the muscles on her face twitch/spasm 24 hrs a day. Right eye is closes and the right cheek twitches. The muscles in her forhead contract on one side and twitch up on the left. No diagnosis yet. Its been 18 months now and getting worse. Dr. Have no clue what's wrong. Please help
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1711789 tn?1361311607
Hi there!

Well, without a detailed clinical evaluation it would be difficult to determine the cause of her symptoms. Ticks/ muscle contractions may be associated with a few neuro-degenerative conditions or a few neurological/ muscular/ metabolic causes, strokes etc. I would suggest getting this evaluated by a neurologist, preferably at a university/ teaching hospital for an accurate diagnosis and appropriate management.
Hope this is helpful.

Take care!
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