Australia batter Steve Smith was ruled out of the third Ashes Test at the Adelaide Oval after experiencing vertigo-like symptoms, prompting a late change to the playing XI and paving the way for Usman Khawaja’s recall at No. 4.

Cricket Australia confirmed that Smith had been dealing with dizziness and nausea, symptoms commonly associated with vertigo, a condition he has experienced intermittently in the past. Despite undergoing a fitness assessment on the morning of the match, Smith was deemed unfit to play and subsequently left the ground before the toss.

Vertigo is a condition that causes a false sensation of movement or spinning, often making it difficult for individuals to maintain balance or focus. It is commonly linked to problems in the inner ear or vestibular system, which plays a crucial role in balance and spatial orientation. Symptoms can include dizziness, nausea, vomiting, headaches, blurred vision, and difficulty standing or walking.

According to Cricket Australia, Smith is being treated for a potential vestibular issue, which can flare up unpredictably and may worsen with physical exertion, bright lights, heat, or rapid head movement — all factors common during a Test match. Given the demands of batting for long periods, the medical team opted not to risk his participation.

Smith had missed training on Monday but returned to the nets a day later, where he appeared uncomfortable and was also struck in the groin, further complicating his preparation.

Australia captain Pat Cummins, who returned to lead the side in Adelaide, confirmed Smith’s withdrawal at the toss. “Steve’s been feeling a bit unwell the last couple of days. He gave it a crack this morning but didn’t feel like he could get up,” Cummins said.

Cricket Australia expects Smith to recover in time for the Boxing Day Test in Melbourne, with the condition being managed conservatively.