Hi Pamela,
Pushers syndrome is also known as contraversive pushing. Affected individuals will push contralateral to their brain lesion (and toward their affected limbs)- they will use their unaffected limbs to push toward their affected limbs. So, if someone has a left-sided stroke with right hemiparesis, they will use their left limbs to push toward their right side.
Most sources I am seeing generally cite the posterolateral thalamus as the culprit in pushers syndrome.
– https://www.neurology.org/doi/full/10.1212/01.WNL.0000154527.72841.4A
– https://pmc.ncbi.nlm.nih.gov/articles/PMC3226615/
There is some association with lateral medullary syndrome (posterior inferior cerebellar artery) and pushing.
– https://www.tandfonline.com/doi/full/10.1080/10749357.2021.1886640
Another one of those messy ones where knowing the general presentation will go a long way.
Chrissy