A 28-year-old agricultural worker is admitted 6 hours after suspected organophosphate pesticide ingestion. He is drowsy, has a respiratory rate of 32/min with audible wheezing, and serum cholinesterase is 30% of baseline. After atropine and pralidoxime administration, he develops generalized seizures. Which of the following best explains the mechanism of seizures in organophosphate poisoning?
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