Should I seek a second opinion about my stroke recovery and meningioma?
It is somewhat hard to know the answer here without knowing the location of the stroke and the meningioma. By age 55, it is not uncommon at all to have incidental old stroke and/or meningiomas seen on routine brain imaging. If they are not in the right location (usually an area known as the "posterior circulation") they may not be connected to your symptoms at all.
With regards to your symptoms, you might consider seeking out a second opinion. Additional tests such as a lumbar puncture (more crudely known as a "spinal tap") and additional imaging - particularly of the veins in the brain - may be necessary to rule out dangerous causes for those symptoms. Less serious causes, such as basilar migraines, can also cause these symptoms. It sounds like you need to be seen and evaluated by another Neurologist to be sure that everything has been done.
I would definitely seek another consult with a Neurologist specializing in stroke. You appear to have symptoms of possible cerebellar involvement. Your vertigo may actual be issues with balance and unsteady gait is also a balance/coordination issue, suggesting cerebellar involvement. Good luck.
