Banjo is right....there is always a risk during surgery.
Twitching....well, from my own experience, during a routine tune-up, the audi had the volume on too high on my 3rd electrode, and it was so painful that my whole face cringed, but, that was a voluntary response, not an involuntary one. If there is a high-pitched sound present, and someone's eyes squint, then you know the map needs to be adjusted. I only know of one person that had abnormal optical activity...this person began having seizures and eyes rolling independently after having a CI...and all the problems went away after the CI was removed. The cause was never found.
My first CI surgery caused a nerve on my tongue to be associated with a nerve on my head. If I scratched my head, I also felt the scratching on my tongue. Weird. It finally went away after 3-4 years. I had no effects after the second CI surgery.
Bottom line is...everyone will have a different outcome with a CI.