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Two of the victims of the hit-and-run incidents in Cardiff last year had to leave the court room when footage was shown of them being dragged under the van that the defendant was driving.
Gill White and her daughter Rebecca were two of the most severely injured victims in the attacks.
A court in Cardiff is hearing how defendant Matthew Tvrdon told police he thought something might have put in his food which caused him to drive so erratically and target five separate families.
He also claimed in police interviews that he was merely trying to drive the van to somewhere quiet so he could get some sleep.
Doctors have agreed he was suffering from a mental condition known as "gas lighting". The defendant himself says he was aware of suffering from the condition, which he researched on his own computer.
Cardiff Crown Court has heard how a man who went on a hit-and-run rampage through the city last year did not intend to kill any children, although he targeted five different families.
Matthew Tvrdon, 31, is due to be sentenced later today after pleading guilty to one count of manslaughter by diminished responsibility, and a slew of other charges.
The court heard how all of those hurt in the incidents were strangers to the defendant, and were in places where they should have been safe.
A van driver, who admitted running down and killing a mother-of-three in a hit-and-run frenzy in which 13 other people were injured, is to be sentenced today.
Paranoid schizophrenic Matthew Tvrdon admitted the manslaughter of Karina Menzies through diminished responsibility last month after denying the murder of the 31-year-old. He is to be sentenced at Cardiff Crown Court.
Tvdron mowed down parents and children during a hit-and-run rampage in Cardiff last year.
In a dramatic final act, Ms Menzies managed to throw her two daughters to safety but was unable to save herself.
In addition to manslaughter, Tvrdon has also admitted seven counts of attempted murder, two of grievous bodily harm (GBH) with intent and two of attempted GBH
He has also pleaded guilty to four counts of causing actual bodily harm and one of dangerous driving