Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I am a 26 year old temple experiencing a painless twitching/spasm feeling on my left temple that started this yesterday evening. The night before i had a really bad headache where i was nauseated and sensitive to light. I had also just went to the dr for numbness & tingling of hands and feet. The workup showed no elevated bs and some carpal tunnel mostly in my left wrist but feet and other hand are ok. I usually take Excedrin for headaches, which i get often, and drink sodas occassion. I had 2 prior to the start of the muscle twitching. I also have mixed connective tissue disease but has been well controlled with Plaquenil. I also was taking Flagyl but stopped after developing numbness and tingling. What could this nerve twitching be due to? Want to get an informed opinion before i get too nervous about it
[|AI|]  Hello, Regarding your concern, I would explain that your symptoms seem to be related to migraine headaches.  Anyway, considering the fact that you suffer from connective tissue disorder, I would recommend consulting with a neurologist for a physical exam and a brain MRI study, coupled with a Doppler ultrasound of the temporal artery in order to exclude possible temporal arthritis.  Hope I have answered your query. Let me know if I can assist you further.