Trigeminal neuralgia (TN) is a debilitating condition characterized by severe facial pain. The pathophysiology of TN is not well understood and conventional clinical imaging often fails to identify the anatomical source of pain. In this study, we perform high-resolution 7T structural, vascular and diffusion-weighted MRI to visualize the trigeminal nerve region in three TN patients and three controls. We found that 7T-MRI provided improved visualization of nerve abnormalities compared to clinical scans. We also found greater nerve asymmetry in TN patients compared to controls. Multi-modal 7T-MRI could enhance our understanding of TN etiology and provide improved clinical outcomes for TN.