<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello, I am a 26 year old temple experiencing a painless twitchingspasm 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  <response>: 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. 