From what I read it was a nose bleed, calling it a blow to the head is a bit misleading. If it was a blow to any other part of his head other than his nose then no doubt more than ice would have been needed and probably a medic rather than Queen Anne-Marie would have been called to assist more extensively. Trying to read the full account and some people's translation of it, it seems these two had conversations in private some time before after arriving for the wedding. Perhaps those conversations might have made relations even worse between them rather than better and Prince Vittorio Emanuele took his cousin's slap on his back as a mocking gesture. Not that that is any excuse for responding with violence...of course
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