We treated five patients with vestibular neuritis who had strabismus.
Three of them spontaneously noted vertical diplopia. During the follow
ing weeks and months, strabismus progressively resolved, indicating th
e recently acquired nature of the oculomotor condition. In three of th
ese individuals, a change in visual vertical and cyclotorsion of the g
lobes suggested that strabismus was a form of skew deviation that occu
rred as a part of an ocular tilt reaction resulting from the periphera
l vestibular lesion. Strabismus appears to occur frequently in this co
mmon vestibular condition.