Pathology

A 60-year-old man with small cell carcinoma of lung is rushed to emergency room in coma after suffering a clonic-tonic seizure. Patient's temperature is 37degC , blood pressure 100/50 mm Hg and pulse is 88 per minute. Laboratory studies show a serum sodium of 103 mmol/L, normal serum levels of BUN & creatinine and a dilute but otherwise normal urine. A CT scan of the head is normal. Which of the following is the most likely cause of seizures in this patient?