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Abstract : Trigeminal neuralgia is a disease condition characterized by repetitive paroxysmal electric shock like pain in the distribution of trigeminal nerve. Most common cause implicated in this condition is neurovascular conflict, mostly by superior cerebellar artery in prepontine cistern. Other common causes include cerebello-pontine angle tumours and aneurysms at level of brainstem. MRI is the imaging modality of choice in evaluation of trigeminal neuralgia with 3D-FIESTA (Fast imaging employing steady-state acquisition) being the mainstay for assessment of neurovascular conflict. To assess the role of MRI in evaluation of trigeminal neuralgia and to study spectrum of MRI findings associated with various causes. A prospective study will be conducted at “Acharya Vinoba Bhave Rural Hospital, Sawangi”, involving 41 patients coming to Radiology department with clinical suspicion of trigeminal neuralgia. After statistical analysis, we expect to find effectiveness of MRI in evaluation of trigeminal neuralgia. In this study we expect to find usefulness of MRI as a diagnostic tool in assessment of trigeminal neuralgia and its various causes.