Amadeo R. Rodriguez, MD Robert A. Egan, MD Jason J.S. Barton, MD, PhD, FRCPC In skew deviation, one eye is higher than the other, causing vertical diplopia. Skew deviation is a prenuclear disorder resulting from imbalance in otolith input to the oculomotor system, produced by unilateral lesions anywhere from the otoliths to the interstitial nucleus of Cajal in the rostral midbrain,1 and as such...