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Note 9 - Stock-based Compensation - Stock Option Activity for Employees and Non-employees (Details) - USD ($)
$ / shares in Units, $ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Options Outstanding, Beginning Balance (in shares) 114,931  
Options Outstanding, Weighted Average Exercise Price, Beginning Balance (in dollars per share) $ 204.76  
Options Outstanding, Weighted-average Remaining Contractual Term (Year) 36 days 7 years 146 days
Options Outstanding, Aggregate Intrinsic Value $ 404
Options Granted (in shares) 29,563 51,040
Options Granted, Weighted Average Exercise Price (in dollars per share) $ 106.32  
Options Exercised (in shares)  
Options Exercised, Weighted Average Exercise Price (in dollars per share)  
Options Forfeited (in shares) (80,431)  
Options Forfeited, Weighted Average Exercise Price (in dollars per share) $ 124.40  
Options Expired (in shares) (63,951)  
Options Expired, Weighted Average Exercise Price (in dollars per share) $ 260.40  
Options Outstanding, Ending Balance (in shares) 111 114,931
Options Outstanding, Weighted Average Exercise Price, Ending Balance (in dollars per share) $ 218.40 $ 204.76
Options Exercisable (in shares) 111  
Options Exercisable, Weighted Average Exercise Price (in dollars per share) $ 218.40  
Options Exercisable, Weighted-average Remaining Contractual Term (Year) 36 days  
Options Exercisable, Aggregate Intrinsic Value  
Options Vested or Expected to Vest (in shares) [1] 111  
Options Vested or Expected to Vest, Weighted Average Exercise Price (in dollars per share) [1] $ 218.40  
Options Vested or Expected to Vest, Weighted-average Remaining Contractual Term (Year) [1] 36 days  
Options Vested or Expected to Vest, Aggregate Intrinsic Value [1]  
[1] Represents the number of vested options at December 31, 2019 plus the number of unvested options expected to vest based on the unvested options outstanding at December 31, 2019.