Trigeminal nerve compression distal to the root entry zone, although uncommon, is a treatable cause of TN. Treatment for classical TN should consider the full anatomical course of the nerve and potential compression points. This case challenges the conventional understanding that TN is exclusively caused by compression at its more vulnerable root entry zone. https://thejns.org/doi/10.3171/CASE25973.
Sopchokchai et al. (Mon,) studied this question.