Caloric test I seldom find caloric testing useful now that we have MRI. My management of dizziness can be summed up: if no intracranial cause (MRI) or middle ear disease (otoscopy) then give something beginning with "S" - sympathy, Stugeron (cinnarizine), Serc(betahistine), Stemetil (prochlorperazine). BPPV needs Epley's, but diagnosis is straightforward. Treatment of Meniere's will still be debated when I retire. Chris Pearson Gosport, UK chris.pearson@ent.co.uk