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Summary of Significant Accounting Policies - Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share for Out of Money Potential Common Shares (Detail) - shares
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Out of the money options and warrants excluded 266,158 308,255 266,158 308,255
Stock Options With an Exercise Price of $12.48 per Share [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Out of the money options and warrants excluded 136,833 137,666 136,833 137,666
Stock Options With an Exercise Price of $12.84 per Share [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Out of the money options and warrants excluded 4,167 4,167 4,167 4,167
Stock Options With an Exercise Price of $26.40 per Share [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Out of the money options and warrants excluded 75,158 75,158 75,158 75,158
Stock Options With an Exercise Price of $34.68 per Share [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Out of the money options and warrants excluded   73,765   73,765
Stock Options With an Exercise Price of $39.00 per Share [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Out of the money options and warrants excluded   8,333   8,333
Stock Options With an Exercise Price of $41.16 per Share [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Out of the money options and warrants excluded   833   833
Stock Options With an Exercise Price of $42.00 per Share [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Out of the money options and warrants excluded   8,333   8,333
Warrants With an Exercise Price of $12.00 per Share [Member]        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Out of the money options and warrants excluded 50,000   50,000