<s>[INST] hi iam 33 years male from India, i have mild neck compression that was leading to dizzziness, and neck pain, but two years later, i had severe Facial twitching and Tongue twichting, so doctor asked me to get a Brain MRI done, every was ok except a Few Hyperintense White spots at ischemic area, ( 5-6 of them) , and the doctor was unable to tell me if the twitchings were a result of that, so i went to a senior doctor and one of the ebst neurologists in the country, he carefully enquired my sysmptoms by past lifestyle and told me that i had put on heavy weight and this cud have pressurised the nECK nerve, and hyper tension , leads to such symptoms and there is nothing wrong with me , i have no habits like, alcohol, smoking, drugs, iam a total health freak, i swim, i jog and workout regularly, but i stopped working out for 2 years and has put on weight,    listening to the doc;s adivce i started working out again, and swimming again and reduced my weight, the doctor initially gave me muscle relaxants for a  month, today i dont have any symptoms, i never had numbness of any sort, iam ina good shape as well.. but occasionally my tip of the tongue twitches, and it comes and goes,.. but i want to know if these white can lead to death or severe disability? in future? [/INST] Hello. Thanks for writing to us. The symptoms that you have are likely to be related to cervical spondylosis. the twitches in the tongue can be due to electrolyte imbalance and stroke. An MRI scan of the head and neck will help in detecting the exact cause. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal drtayal72@gmail.com </s>