You do not have to take the English language test, but you do have to take the civics test in the language of your choice. At the time of filing your Form N-400, you are 65 years of age or older and have lived in the United States as a permanent resident for periods totaling at least 20 years. You do not have to take the English language test, but you do have to take a simplified version of the civics test in the language of your choice.
A CSF leak is most often characterized by orthostatic headaches â headaches that worsen in a vertical position and improve when lying down. Other symptoms can include neck pain or stiffness, nausea, vomiting, dizziness, fatigue, and a metallic taste in the mouth (indicative of a cranial leak). A CT scan can identify the site of a cerebrospinal fluid leakage.
Spontaneous leaks are most commonly at the level of the spine, particularly the thoracic spine and cervicothoracic junction. Sometimes they are unintentional consequences of an overdraining CSF shunt, placed for CSF hypertension. CSF leaks can also occur in the nose after trauma or surgery. CSF leaks may follow diagnostic or therapeutic lumbar puncture as well as spinal anesthesia and after an inadvertent puncture of the dura following epidural anesthesia or epidural steroid injections. In this case, the leak is at the site of the puncture.