1 The processing time does not apply to services where prior approval has to be obtained from authorities in India or elsewhere. For such cases, the processing time is a minimum of thirty (30) business days.  The Consular Officer can at any time call an applicant for a personal interview.
The simian crease is one of the listed signs in Down Syndrome which would imply there's some genetic factor at play. My eldest daughter has a simian crease on one hand and the other hand is 'normal'.
These are the most common causes of cauda equina syndrome: 1  A severe ruptured disk in the lumbar area (the most common cause). 2  Narrowing of the spinal canal (stenosis). 3  A spinal lesion or malignant tumor.  A spinal infection, inflammation, hemorrhage, or fracture.