Well I guess there are all sorts of things that could cause that, but if he's been like that 3 years and it's not getting worse, then it's probably nothing to worry about as long as you like him the way he is. Is he wild caught or captive bred?
I had some loopy Kenyan Sand Boas - as I understand it they were literally "half baked" - the breeder hadn't known mama was (gravid?), and KSBs require high temps to correctly gestate their offspring (they're live bearers), but mama didn't have access to the high temps. So the result was a bunch of babies with congenital neurological issues who had really poor orientation. One of them was actually just lying on its back in the cup when I got it home from the show, I thought it was dead! But it was fine, and they all ate heartily and did very well, except for latching on to me when they tried for a feeding strike XD They would seriously go at right angles to where they wanted to go!
As time went on they got less and less loopy. I still have one (sold the rest) and now I can't really tell there was anything wrong with her.
I will note that stress/excitement seemed to make the problem manifest - for example, they looked REALLY BAD at the show, to the point where the breeder didn't want me showing them to anyone and saying they got them from him. But once they were snug and settled in to their homes they were a lot less weird looking. So in daily activities your snake might be a lot more "competent" than when he's excited.
Very pretty snake, I had not seen that species before! Thanks!
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