A tyre of his Williams FW11B failed, which resulted in a violent impact against the wall (when the car was returned to the pits, Williams designer Patrick Head could not confirm if the crash was a fault with the FW11B as half the rear end had been torn off by the impact, while both Head and Nigel Mansell were seen talking a good look at Piquet's wreck).
Years later he revealed that he was "never quite right" after the accident, suffering headaches and sometimes double vision and for the rest of the 1987 season secretly visited the hospital for treatment.
A replacement selection of the tyres used in the Imola test were flown in from England (with some also brought in from the nearby Ferrari factory in Maranello) and despite the lack of Customs officials due to an Italian public holiday, the new rubber was available for all teams by the Saturday morning practice session.
The race required two starts as Martin Brundle (Zakspeed 871), Thierry Boutsen (Benetton B187) and Eddie Cheever (Arrows A10) stalled on the original grid.
At the second start, Senna led off the line, but Mansell overtook him on lap two, at the Tosa corner, and went on to dominate the race.
Alboreto salvaged a 3rd place finish, which would end up being the last podium Enzo Ferrari personally saw his Formula One team score, as he only attended Grand Prix races in Italy, and would die 15 months later.