Neck twitching with involuntary head twitching is firstly considered to be a muscle spasm of the neck caused by excessive fatigue, bad sleeping posture, etc., and secondly, it is considered to be caused by Tourette’s syndrome, epilepsy and other conditions. 1. Neck muscle spasm: if the patient recently due to work, study needs, resulting in a long time low head work, reading, or there is a bad sleeping posture, sleep pillow is too high, may lead to muscle spasm of the neck muscles. This phenomenon will lead to spontaneous muscle contraction, some patients may be manifested as neck twitching with involuntary head twitching. 2. Tourette’s Syndrome: This disease is most common in younger children and adolescents, and is considered to be related to genetic and environmental factors. In the early stage of the disease, there will be more frequent, involuntary blinking, nodding and other muscle twitching. With the development of the disease, muscle twitching in the neck, shoulders and other parts of the body may occur, and some patients may experience neck twitching with involuntary head twitching. 3. Epilepsy: usually due to the presence of brain tumors, viral meningitis and other underlying diseases, or the presence of craniocerebral trauma, cerebral cortical development disorders. The clinical symptoms of patients with different conditions are different, such as myoclonic epileptic seizures and focal motor epileptic seizures, which may lead to the patient’s neck jerking with involuntary head jerking. There are many clinical causes of neck jerking with involuntary head jerking, and it is recommended that patients seek medical examination as soon as possible to clarify the specific cause of the disease.