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Generally speaking, the most common causes of phantosmia are: Viral infections, such as a really nasty cold or COVID-19 Neurodegenerative disorders, such as multiple sclerosis Seizure disorders, such as epilepsy Head injury , which could be from an auto accident, sports-related concussion or other trauma Migraine headaches , which can also cause visual hallucinations, known as auras Is phantosmia ever a sign of cancer