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.
Several conditions can result in a cerebrospinal fluid leak. For example, a patient may develop a CSF leak after sustaining a head injury. Leakage of the cerebrospinal fluid may occur after certain medical procedures. A leak may occur after a lumbar puncture, or spinal tap, which is a procedure in which a sample of the cerebrospinal fluid is drawn. In this case, the leakage occurs where the puncture was done. Some patients may develop a CSF leak after having surgery on the brain, spinal cord or head. Other causes of a cerebrospinal fluid leak include cervical bone spurs, epidural anesthesia and epidural steroid injections. A CSF leak can result in several different symptoms. Patients may have a headache, which MedlinePlus described as worsening when patients sit up, and improves when patients lie down.