Mine is also a clival meningioma, pressing against the trigeminal nerve, which is causing numbness in my face. I’m going for surgery to prevent further damage, especially to prevent growth near the brain stem. I’m told radiation follow up - at some point down the line, will be safer if we’ve been able to debulk the tumor. 4-6 weeks recovery, mostly fatigue. Hopefully. Risks w the surgery are scary, but my doctor tells me that permanent defects are less than 10%, closer to 5. I’m going w those odds!