Facial twitching could be related to lyme disease but it is best to consult with your doctor since twitching could be symptoms of other things as well.
When the nerves in the face parellize therefore dropping a side of the face,{ Bells Palsy} this is associated with Lyme disease. A twitching may be a nervous condition.
Yes, a facial twitch is one common symptom of lyme disease. But having a facial twitch alone does not necessarily indicate lyme disease. There are many symptoms.