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this is Dr. David
an MRI scan of the brain can see signs of trigeminal neuralgia with inflammation of the trigeminal nerve.
you should get an MRI scan of your neck spine as well
do you have bad neck muscle tension or anxiety symptoms? bad anxiety can cause neck tension
do you have bad anxiety symptoms?
do you have a bite guard for your teeth and jaw clenching which can cause TMJ
you may need to have them better fitted
it is unlikely you have bilateral TN
you should get a brain MRI scan.
you are welcome