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Note 9 - Commitments and Contingencies (Details Textual) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
May 31, 2023
Sep. 30, 2019
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Government Assistance, Amount     $ 27 $ 247 $ 339 $ 902  
Grant Funding Related to VISIONARY-MS Phase 2 Clinical Trial [Member] | National Multiple Sclerosis Society [Member]              
Government Assistance, Amount   $ 300          
Government Assistance, Repayment, Percentage of Grant Funding Upon First Commercial Product Sale   50.00%          
Government Assistance, Repayment, Additional Percentage of Grant Funding, Tranche One   50.00%          
Government Assistance, Repayment, Cumulative Sales, Tranche One   $ 10,000          
Government Assistance, Repayment, Cumulative Sales, Tranche Two   $ 50,000          
Government Assistance, Repayment, Additional Percentage of Grant Funding, Tranche Three   200.00%          
Government Assistance, Repayment, Cumulative Sales, Tranche Three   $ 100,000          
Government Assistance, Repayment, Maximum Percentage of Grant Funding When All Milestones Achieved   450.00%          
Government Assistance, Aggregate Repayment, Percentage of Grant Funding   300.00%          
Government Assistance, Repayment, Percentage of Grant Funding Upon Closing   300.00%          
Government Assistance, Repayment Amount Upon Closing   $ 1,000          
Grant Funding Related to VISIONARY-MS Phase 2 Clinical Trial [Member] | National Multiple Sclerosis Society [Member] | Minimum [Member]              
Government Assistance, Possible Loss, Percentage of Grant Funding   50.00%          
Government Assistance, Possible Loss Between Minimum and Maximum Repayment Amounts   $ 200          
Grant Funding Related to VISIONARY-MS Phase 2 Clinical Trial [Member] | National Multiple Sclerosis Society [Member] | Maximum [Member]              
Government Assistance, Possible Loss, Percentage of Grant Funding   450.00%          
Government Assistance, Possible Loss Between Minimum and Maximum Repayment Amounts   $ 1,500          
Grant Funding Related to REPAIR-MS Phase 2 Clinical Trial [Member] | National Multiple Sclerosis Society [Member]              
Government Assistance, Amount $ 700            
Government Assistance, Repayment, Additional Percentage of Grant Funding, Tranche Two   150.00%          
Government Assistance, Aggregate Repayment, Percentage of Grant Funding 150.00%            
Government Assistance, Repayment, Percentage of Grant Funding Upon Closing 150.00%            
Government Assistance, Repayment Amount Upon Closing $ 1,000            
Grant Funding Related to REPAIR-MS Phase 2 Clinical Trial [Member] | National Multiple Sclerosis Society [Member] | Minimum [Member]              
Government Assistance, Possible Loss Between Minimum and Maximum Repayment Amounts 300            
Grant Funding Related to REPAIR-MS Phase 2 Clinical Trial [Member] | National Multiple Sclerosis Society [Member] | Maximum [Member]              
Government Assistance, Possible Loss Between Minimum and Maximum Repayment Amounts $ 3,000            
Capital Addition Purchase Commitments [Member]              
Long-Term Purchase Commitment, Amount         $ 200   $ 400