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Why does 'low-dimension' topology end with dimension 4?

Put another way, assuming it is somewhat fair to say that we have a qualitatively better handle on manifolds up to and including dimension 4 than we do for the case of 5+ dimensions, is it just a coincidence (i.e., 'non-mathematical' factors) that it seems 'natural' for us to think of space-time in terms a four-dimensional manifold?