An inquest has heard how a 76 year-old Santon women died after falling at a nursing home.
Winifred Howard slipped and hit her head at Springfield Grange in Douglas on April 4.
She was taken to Noble's Hospital where scans showed she had a significant brain injury.
Doctors consulted Walton Neurological Centre in Liverpool about Mrs Howard's condition - it was then deemed no surgical intervention should be taken.
Coroner of Inquests John Needham opened and adjourned the hearing this morning (Monday).
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