The attack occurred after Berlusconi had just finished delivering a long, vigorous speech at the rally to a crowd of applauding supporters from his Freedom People party at about 6:30 p.m.
Berlusconi got blood under his nose, on his mouth and under one eye being lifted to his feet by aides after the attack. Berlusconi was hustled into the back of a car, but he immediately got out, apparently in an effort to show he was not badly injured.
Berlusconi's spokesman, speaking by telephone from the emergency room from San Raffaele hospital where the premier was taken, told Sky TG24 TV that doctors had decided to keep the premier in the hospital overnight for observation.
"We'll see what the doctors say tomorrow morning," spokesman Paolo Bonauiti told Sky.
The exams of his jaw area included a CT scan, Bonaiuti said.
Police identified the man they were questioning as Massimo Tartaglia, 42. They said Tartaglia didn't have any criminal record.
ITALIAN PREMIER BERLUSCONI PUNCHED IN THE FACE [VIDEO]
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