There is a growing body of evidence that childhood disorders affecting the vestibular system, although rare, do exist. Describing symptoms associated with the vestibular mechanism for children may be difficult, resulting in misdiagnosing or under-diagnosing these conditions. The pathophysiology, symptoms, and management options of the more common childhood disorders that may affect the vestibular system are addressed in this article. Vestibular problems associated with fetal alcohol syndrome and vestibular deficits in children who are deaf also are discussed. Vestibular deficits can affect not only a child's health but also the child's ability to learn, as well as the child's overall academic achievement. It is important for professionals working with children to recognize signs and symptoms associated with vestibular disorders because appropriate diagnosis and treatment are crucial for positive outcomes.