I recently had an MRI with contrast. I have bilateral facial numbness/burning sensations for about 15 months and recently started having a lot of headaches and a burning sensation through my nostrils. The MRI showed a small vascular contact with the trigeminal nerves on both sides but the neurologist said he doesn't think i have any form of TN and that the MRI findings are not relevant, essentially it is a normal MRI. How can this be? Doesn't contact between blood vessels and the trigeminal nerves indicate TN?